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1235483462
JERRICO LAMON MARTIN
TULSA, OK
NPI
1235483462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-11-09
Last Update Date
2012-11-09
Business Address
Mr. JERRICO LAMON MARTIN
6726 E 26TH CT
TULSA, OK 74129-6206
Phone number: 918-406-7716
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Mailing Address
Mr. JERRICO LAMON MARTIN
6726 E 26TH CT
TULSA, OK 74129-6206
Phone number: 918-406-7716
Copy
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