Individual
CHRISTINA MARIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 EAST DRIVE, HARTSHORNE, OK 74547
(918) 429-5967
Mailing address
HCR 74 89-2A, HARTSHORNE, OK 74547
(918) 429-5968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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