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1750016952
BAILEY GOODPASTER
CLAREMORE, OK
NPI
1750016952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-07-21
Last Update Date
2023-08-01
Business Address
BAILEY GOODPASTER
3100 MEDICAL PKWAY
CLAREMORE, OK 74017
Phone number: 918-342-0770
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Mailing Address
BAILEY GOODPASTER
3100 MEDICAL PKWY
CLAREMORE, OK 74017-1088
Phone number: 918-342-0770
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