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1417508003
JONATHAN EDWARD MARTIN
CLAREMORE, OK
NPI
1417508003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: OK 108494)
Enumeration Date
2019-09-25
Last Update Date
2019-09-25
Business Address
JONATHAN EDWARD MARTIN
101 S MOORE AVE
CLAREMORE, OK 74017-5091
Phone number: 918-342-6495
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Mailing Address
JONATHAN EDWARD MARTIN
101 S MOORE AVE
CLAREMORE, OK 74017-5091
Phone number: 918-342-6495
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