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Organization

HARVEY L BABER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARVEY LEWIS BABER (OWNER)
(918) 248-5393
Entity
Organization

Contact information

Practice address
27 N MAIN ST, SAPULPA, OK 74066-3901
(918) 248-5393
(918) 248-5399
Mailing address
27 N MAIN ST, SAPULPA, OK 74066-3901

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
448408112001
BLUE CROSS
OK
Enumeration date
10/29/2007
Last updated
10/31/2007
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