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Individual

JOHN BROOKE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
1111 N COMMERCE ST, ARDMORE, OK 73401-3922
(580) 226-6978
Mailing address
1111 N COMMERCE ST, ARDMORE, OK 73401-3922
(580) 226-6978

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14080
OK

Other

Enumeration date
08/29/2011
Last updated
08/29/2011
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