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1679890958
CHARLES LAWRENCE MARTIN
MCALESTER, OK
NPI
1679890958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2010-04-27
Last Update Date
2010-04-27
Business Address
Mr. CHARLES LAWRENCE MARTIN BHRS
721 S GEORGE NIGH EXPY
MCALESTER, OK 74501-7400
Phone number: 918-302-8911
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Mailing Address
Mr. CHARLES LAWRENCE MARTIN BHRS
721 S GEORGE NIGH EXPY
MCALESTER, OK 74501-7400
Phone number: 918-302-8911
Copy
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