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Illexus Martin
NPI 1790359255 · on the registry since 2021
Practice
- Address
- 1575 Laurel Ave Apt B
Saint Paul, MN 55104 - Phone
- (763) 477-1743
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Sex
- Female
- Record last updated
- 2021-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota