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1801924352
ELLEN MARTIN
MUSKOGEE, OK
NPI
1801924352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0013851)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- ELLEN MARTIN
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
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Mailing Address
-- ELLEN MARTIN
PO BOX 104
OKTAHA, OK 74450-0104
Phone number:
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