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1851369201
ROBERT ELLIS BAKER
BROKEN ARROW, OK
NPI
1851369201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: OK 1591)
Enumeration Date
2006-03-10
Last Update Date
2007-07-08
Business Address
-- ROBERT ELLIS BAKER DO
111 W BROADWAY AVE
BROKEN ARROW, OK 74012-3814
Phone number: 918-258-5656
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Mailing Address
-- ROBERT ELLIS BAKER DO
111 W BROADWAY AVE
BROKEN ARROW, OK 74012-3814
Phone number: 918-258-5656
Copy
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