Individual
ELDA MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 SW 38TH ST, LAWTON, OK 73505-6921
(580) 250-2600
(580) 355-1211
Mailing address
502 SW 38TH ST, LAWTON, OK 73505-6921
(580) 250-2600
(580) 355-1211
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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