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1336347020
MARTHA A MALONE
OWASSO, OK
NPI
1336347020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 262251)
Additional Taxonomies
208600000X Surgery
(Licence: OK 4503)
Enumeration Date
2007-07-05
Last Update Date
2011-08-02
Business Address
Dr. MARTHA A MALONE DO
14520 E 104TH ST N
OWASSO, OK 74055-4843
Phone number: 918-695-1480
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Mailing Address
Dr. MARTHA A MALONE DO
14520 E 104TH ST N
OWASSO, OK 74055-4843
Phone number:
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