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Individual

MARTHA RUTH BUCHANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-8020
(405) 522-6809
Mailing address
1200 N.E. 13TH ST, P.O. BOX 53277, OKLAHOMA CITY, OK 73152-3277
(405) 522-8020
(405) 522-6809

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
10/26/2011
Last updated
10/26/2011
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