Individual
CARLYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 N HARRISON AVE, SHAWNEE, OK 74801-5208
(405) 424-7711
Mailing address
2615 N BELL AVE, SHAWNEE, OK 74804-2939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0136497
OK
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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