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1396271250
SUSAN MARTIN
MUSKOGEE, OK
NPI
1396271250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OK 10197)
Enumeration Date
2017-05-11
Last Update Date
2024-02-09
Business Address
SUSAN MARTIN
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
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Mailing Address
SUSAN MARTIN
2024 DENVER ST
MUSKOGEE, OK 74401-7117
Phone number: 918-441-0100
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