Individual
JODY MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
1802 TULIP CT, CLAREMORE, OK 74019-3513
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
121929
OK
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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