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1750889051
IRVING DE JESUS MARTINEZ
BROKEN ARROW, OK
NPI
1750889051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-01
Last Update Date
2018-02-01
Business Address
IRVING DE JESUS MARTINEZ
5608 S DATE AVE
BROKEN ARROW, OK 74011-4847
Phone number: 918-933-0080
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Mailing Address
IRVING DE JESUS MARTINEZ
5608 S DATE AVE
BROKEN ARROW, OK 74011-4847
Phone number: 918-933-0080
Copy
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