Individual
JULIE ANN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 S 113TH WEST AVE, SAND SPRINGS, OK 74063-2722
(918) 640-3533
Mailing address
PO BOX 1806, SAND SPRINGS, OK 74063-1806
(918) 640-3533
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4842
CREOKS
OK
Enumeration date
08/03/2021
Last updated
08/03/2021
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