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Individual
MS. SALLY SUE BAKER
Active
Individual
MS. SALLY SUE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00003060
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA8484
REGENCE INS
WA
Enumeration date
08/21/2006
Last updated
07/08/2007
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