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1578576955
DOUGLAS VANCE BAKER
CUSHING, OK
NPI
1578576955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 10498)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
-- DOUGLAS VANCE BAKER DPh
1022 E CHERRY ST
CUSHING, OK 74023-4102
Phone number: 918-225-2200
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Mailing Address
-- DOUGLAS VANCE BAKER DPh
2513 E 5TH ST
CUSHING, OK 74023-6409
Phone number: 918-225-5711
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