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1912001413
MICHAEL MARTINE
LAWTON, OK
NPI
1912001413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 85109)
Enumeration Date
2006-09-13
Last Update Date
2016-01-12
Business Address
-- MICHAEL MARTINE FNP
5404 SW LEE BLVD
LAWTON, OK 73505-9695
Phone number: 580-355-5242
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Mailing Address
-- MICHAEL MARTINE FNP
PO BOX 2309
LAWTON, OK 73502-2309
Phone number: 580-355-5242
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