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Individual

NATISHA LYNN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
STILWELL PUBLIC SCHOOL, 520 W. DIVISON ST., STILWELL, OK 74960
(918) 696-7001
(918) 696-6824
Mailing address
STILWELL PUBLIC SCHOOL, 520 W. DIVISON ST., STILWELL, OK 74960
(918) 696-7001
(918) 696-6824

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
OK

Other

Enumeration date
10/11/2019
Last updated
10/11/2019
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