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1578122610
ERIN MARIE MAMATOV
OKLAHOMA CITY, OK
NPI
1578122610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-06-12
Last Update Date
2021-11-18
Business Address
ERIN MARIE MAMATOV MD
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104-4637
Phone number: 405-271-4700
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Mailing Address
ERIN MARIE MAMATOV MD
18504 RASTRO DR
EDMOND, OK 73012-9799
Phone number: 405-856-3082
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