Individual
MS. SUELLA K BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSPT
Contact information
Practice address
2208 N YELLOWOOD AVE, BROKEN ARROW, OK 74012-9102
(918) 286-1261
(918) 286-1265
Mailing address
1317 COUNTRY CLUB RD, MCALESTER, OK 74501-7236
(918) 329-0210
(918) 423-6740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
444
OK
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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