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Individual

VERA MARIE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
260 N SHILOH RD, SALLISAW, OK 74955-4526
(918) 817-9598
Mailing address
260 N SHILOH RD, SALLISAW, OK 74955-4526
(918) 817-9598

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
3747A0650X
OK

Other

Enumeration date
09/14/2021
Last updated
09/14/2021
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