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MALACHI NATHANIEL MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
8920 NW 103RD ST, OKLAHOMA CITY, OK 73162-6017
(580) 216-1146
Mailing address
1122 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02180469
OK

Other

Enumeration date
02/13/2018
Last updated
03/03/2026
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