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1881385656
TAELOR BAETZ
PONCA CITY, OK
NPI
1881385656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 5266)
Enumeration Date
2023-05-15
Last Update Date
2024-07-10
Business Address
TAELOR BAETZ PA
415 FAIRVIEW AVE STE 201
PONCA CITY, OK 74601-1932
Phone number: 580-762-9355
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Mailing Address
TAELOR BAETZ PA
3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY, OK 73134-2640
Phone number: 580-762-9355
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