Individual
JEFFERY BALDRIDGE918
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(918) 201-1865
Mailing address
PO BOX 86, BEGGS, OK 74421-0086
(918) 520-8182
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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