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Individual

MRS. CHRISTINA LOU MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1551 N 9TH ST, BROKEN ARROW, OK 74012
(918) 355-7900
(918) 355-7929
Mailing address
1551 N 9TH ST, BROKEN ARROW, OK 74012-8898
(918) 355-7900
(918) 355-7929

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
85478
OK

Other

Enumeration date
01/08/2018
Last updated
11/06/2018
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