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1114269818
MICHAEL L MARTIN
POTEAU, OK
NPI
1114269818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-03-20
Last Update Date
2013-03-20
Business Address
-- MICHAEL L MARTIN
510 NORTH BROADWAY AVE
POTEAU, OK 74953-0711
Phone number: 918-647-4196
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Mailing Address
-- MICHAEL L MARTIN
PO BOX 711
POTEAU, OK 74953-0711
Phone number: 918-647-4196
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