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Individual

JARED BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9221 HARMONY DR, MIDWEST CITY, OK 73130-6255
(405) 869-0700
Mailing address
1101 SE 12TH ST, MOORE, OK 73160-7008

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5251
OK

Other

Enumeration date
02/02/2017
Last updated
02/02/2017
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