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Individual

MR. ORVILLE BAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
311 S MADISON AVE, TULSA, OK 74120-3208
(918) 582-0061
Mailing address
3340 E 30TH PL N, TULSA, OK 74115-2421
(918) 402-8697

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/15/2010
Last updated
01/15/2010
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