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Individual

CALLIE C BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
10 N RIVER ROAD, FORT YATES, ND 58538
(701) 854-3831
Mailing address
PO BOX 31001-0698, PASEDENA, CA 91110-0698
(602) 263-1511
(602) 263-1619

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R40100
ND
163W00000X
Registered Nurse
RN126644
AZ

Other

Enumeration date
12/05/2006
Last updated
10/30/2020
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