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Individual

CLAUDE MARTIN JR.

Active
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Individual

CLAUDE MARTIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RTR

Taxonomy

Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
720223
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
86000338
KY
Enumeration date
10/08/2008
Last updated
10/08/2008
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