Individual
JESSIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
120 S MADISON AVE STE 24, ELK CITY, OK 73644-5741
(580) 302-0850
Mailing address
122 THORNTON LN, ELK CITY, OK 73644-1636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
04/22/2024
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