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Organization
GREEN LIFE HEALTH AND WELLNESS PLLC
Active
Organization
GREEN LIFE HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI CHANTEL MARTIN NP (OWNER)
(405) 464-9370
Entity
Organization
Contact information
Practice address
218 W MAIN ST, PURCELL, OK 73080-4222
(405) 464-9370
Mailing address
218 W MAIN ST, PURCELL, OK 73080-4222
(405) 464-9370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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