Individual
JACOB BAKARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 N OKLAHOMA AVE, OKLAHOMA CITY, OK 73105-2724
(405) 412-8216
Mailing address
2701 N. OKLHOMA AVENUE, OKLAHOMA, OK 73105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 0086709
OK
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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