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Individual

BRETT AVERY BALDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
415 W GUY AVE, PAULS VALLEY, OK 73075-3247
(405) 397-0035
(405) 238-9342
Mailing address
420 CHARLES CT, YUKON, OK 73099-8072

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0129625
OK
363LF0000X
Family Nurse Practitioner
Primary
215539
OK

Other

Enumeration date
02/08/2023
Last updated
03/25/2024
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