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1386009165
MARTIN OKOTH
MEMPHIS, TN
NPI
1386009165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2015-12-22
Last Update Date
2015-12-22
Business Address
-- MARTIN OKOTH
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
-- MARTIN OKOTH
1653 RED BARN DR
CORDOVA, TN 38016-6089
Phone number:
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