Individual
MR. JOHN ROBERT BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BUILDER/REMODELER
Contact information
Practice address
605 NW 160TH ST, EDMOND, OK 73013-1025
(405) 520-4598
Mailing address
605 NW 160TH ST, EDMOND, OK 73013-1025
(405) 520-4598
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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