CHAD DOUGLAS BAKER

TAHLEQUAH, OK
NPI1720866890
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2023-09-19
Last Update Date2023-09-19
Business Address
CHAD DOUGLAS BAKER
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464-3820
Phone number: 918-708-9474
Mailing Address
CHAD DOUGLAS BAKER
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464-3820
Phone number: 918-708-9474
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