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Individual

MISS OLIVIA TAMAYO MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3112 MAGNOLIA CT, GRAND ISLAND, NE 68803-4154
(308) 675-0077
Mailing address
2536 CARLETON AVE, GRAND ISLAND, NE 68803-1221
(308) 385-5775

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
03/06/2025
Last updated
03/06/2025
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