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1922063510
BENJAMIN BAKER FORE
ARDMORE, OK
NPI
1922063510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
(Licence: OK 2273)
Enumeration Date
2006-04-18
Last Update Date
2016-04-15
Business Address
-- BENJAMIN BAKER FORE DO
1005 15TH AVE NW
ARDMORE, OK 73401-1810
Phone number: 580-223-4800
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Mailing Address
-- BENJAMIN BAKER FORE DO
1001 15TH AVE NW
ARDMORE, OK 73401
Phone number: 580-223-3737
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