Individual
HEZEKIAH ABIODUN BAKARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11229 QUEEN ANNE AVE, OKLAHOMA CITY, OK 73114
(405) 748-5402
Mailing address
11229 QUEEN ANNE AVE, OKLAHOMA CITY, OK 73114-7010
(405) 748-5402
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5757
TEACHING SPECIAL EDUCTION CHILDREN
OK
Enumeration date
12/22/2015
Last updated
12/22/2015
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