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1386493047
SAMUEL BAKER
EDMOND, OK
NPI
1386493047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK 24-347580)
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
SAMUEL BAKER
2248 NW 164TH ST
EDMOND, OK 73013-8801
Phone number: 405-562-3776
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Mailing Address
SAMUEL BAKER
2248 NW 164TH ST
EDMOND, OK 73013-8801
Phone number: 405-562-3776
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