Individual
DONITA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 TWILIGHT TER, YUKON, OK 73099-3386
(405) 626-2565
Mailing address
1301 TWILIGHT TER, YUKON, OK 73099-3386
(405) 626-2565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R00589765
OK
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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