Individual
CHELSEA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 NW FORT SILL BLVD, LAWTON, OK 73507-6602
(580) 695-0397
Mailing address
604 NW FORT SILL BLVD, LAWTON, OK 73507-6602
(580) 695-0397
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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