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Individual

MCKENZIE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
104 NW 31ST ST, LAWTON, OK 73505-6100
(805) 362-1215
Mailing address
8005 NW NORWICK AVE, LAWTON, OK 73505-4033
(580) 713-9810

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
219833
OK

Other

Enumeration date
03/06/2024
Last updated
07/30/2025
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