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1275389553
KELLY MARTIN
SHAWNEE, OK
NPI
1275389553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-26
Last Update Date
2024-04-26
Business Address
KELLY MARTIN
1336 N HARRISON AVE
SHAWNEE, OK 74801-5206
Phone number: 405-424-7711
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Mailing Address
KELLY MARTIN
901 LINCOLN ST
SEMINOLE, OK 74868-3839
Phone number:
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