Individual
BONITA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N 5TH ST, MCALESTER, OK 74501-5084
(918) 420-5343
(918) 420-5904
Mailing address
100 N 5TH ST, MCALESTER, OK 74501-5084
(918) 420-5343
(918) 420-5904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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