Individual
MS. OTTILIE ALOISE BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC,RLC
Contact information
Practice address
825 NE 10TH ST, OUPB 3300, OKLAHOMA CITY, OK 73104-5417
(405) 271-9494
Mailing address
908 DOVER DR, EDMOND, OK 73034-6457
(405) 348-9934
(405) 271-6454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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