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Individual

LINDA MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
8516 E 123RD ST S, BIXBY, OK 74008-2714
(918) 883-5632
(918) 883-5632
Mailing address
8516 E 123RD ST S, BIXBY, OK 74008-2714
(918) 883-5632
(918) 883-5632

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
58128
OK

Other

Enumeration date
08/25/2025
Last updated
08/25/2025
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