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Individual

MS. LASHAWN DENISE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4961 S 76TH EAST AVE, TULSA, OK 74145-6628
(918) 277-4233
Mailing address
4961 S 76TH EAST AVE, TULSA, OK 74145-6628
(918) 277-4233

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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