LAELANI BACA

ENID, OK
NPI1831506849
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  92385)
Enumeration Date2014-07-22
Last Update Date2018-02-08
Business Address
LAELANI BACA aprn
2821 N VAN BUREN ST
ENID, OK 73703-1729
Phone number: 580-213-9794
Mailing Address
LAELANI BACA aprn
5300 N INDEPENDENCE AVE SUITE 280
OKLAHOMA CITY, OK 73112-5556
Phone number: 580-213-9794
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