Individual
MRS. SUE N. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICIAN
Contact information
Practice address
9 N WATER ST, SUITE 104, SAPULPA, OK 74066-2819
(918) 224-9307
Mailing address
9 N WATER ST, SUITE 104, SAPULPA, OK 74066-2819
(918) 224-9307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300522336
CREEK NATION CLINICS AND HOSPITAL
OK
Enumeration date
03/11/2010
Last updated
05/11/2010
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