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1760570840
GERALD MIKEL MARTIN
MUSKOGEE, OK
NPI
1760570840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: OK 1990)
Enumeration Date
2006-10-11
Last Update Date
2008-11-12
Business Address
Dr. GERALD MIKEL MARTIN D.O.
350 S 40TH ST
MUSKOGEE, OK 74401-4915
Phone number: 918-683-0753
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Mailing Address
Dr. GERALD MIKEL MARTIN D.O.
350 S 40TH ST
MUSKOGEE, OK 74401-4915
Phone number: 918-683-0753
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