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1962924126
ALICIA DAWN BAKER
ADA, OK
NPI
1962924126
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Former Name
ALICIA DAWN SHACKELFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-10
Last Update Date
2021-05-06
Business Address
Miss ALICIA DAWN BAKER
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
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Mailing Address
Miss ALICIA DAWN BAKER
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
Copy
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