ELLEN MARTIN

MUSKOGEE, OK
NPI1801924352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0013851)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
-- ELLEN MARTIN
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
Mailing Address
-- ELLEN MARTIN
PO BOX 104
OKTAHA, OK 74450-0104
Phone number:
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