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Individual

MRS. MARTHA SUSAN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
314 E OWEN K GARRIOTT RD, ENID, OK 73701
(580) 233-8315
(580) 233-9441
Mailing address
314 E OWEN K GARRIOTT RD, ENID, OK 73701
(580) 233-8315
(580) 233-9441

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0058176
OK

Other

Enumeration date
01/22/2008
Last updated
01/22/2008
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