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1417078403
STACI MARIE BAKER
WAGONER, OK
NPI
1417078403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- STACI MARIE BAKER
109 S HARRILL AVE
WAGONER, OK 74467-5317
Phone number: 918-485-3554
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Mailing Address
-- STACI MARIE BAKER
109 S HARRILL AVE
WAGONER, OK 74467-5317
Phone number: 918-485-3554
Copy
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