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1972995264
STEPHANIE BAUER
CLAREMORE, OK
NPI
1972995264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
-- STEPHANIE BAUER
104 S MOORE AVE APT 1
CLAREMORE, OK 74017-5056
Phone number: 918-933-7809
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Mailing Address
-- STEPHANIE BAUER
104 S MOORE AVE APT 1
CLAREMORE, OK 74017-5056
Phone number: 918-933-7809
Copy
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