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1053900126
CHRISTOPHER KANE MARTIN
LAWTON, OK
NPI
1053900126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-01-13
Last Update Date
2021-01-14
Business Address
Mr. CHRISTOPHER KANE MARTIN
1512 NW LAKE AVE
LAWTON, OK 73507-6449
Phone number: 580-277-9257
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Mailing Address
Mr. CHRISTOPHER KANE MARTIN
PO BOX 2752
LAWTON, OK 73502-2752
Phone number: 580-492-3394
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