Individual
GRADY JOSIAH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2536 E 6TH ST APT 3, TULSA, OK 74104-2837
(918) 323-5763
Mailing address
2536 E 6TH ST APT 3, TULSA, OK 74104-2837
(918) 323-5763
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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