Individual
SPENCER CHEYENNE BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 S 4275, PRYOR, OK 74361-7827
(918) 373-5788
Mailing address
1622 S 4275, PRYOR, OK 74361-7827
(918) 373-5788
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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