Individual
BAILEA ROUNDTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 HERITAGE PLACE DR APT 802, NORMAN, OK 73072-4332
(580) 541-9623
Mailing address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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