Individual
BAYLEE MOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 LENAPE DR, NOWATA, OK 74048-4403
(918) 273-7500
Mailing address
705 RUSSELL AVE, TAHLEQUAH, OK 74464-2224
(918) 822-4225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
NA
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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