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Organization

DONALD L. BAKER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD L. BAKER O.D. (OWNER)
(479) 754-3309
Entity
Organization

Contact information

Practice address
210 W MAIN ST, CLARKSVILLE, AR 72830-3010
(479) 754-3309
(479) 754-3955
Mailing address
210 W MAIN ST, CLARKSVILLE, AR 72830-3010
(479) 754-3309
(479) 754-3955

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2006
AR

Other

Enumeration date
12/06/2007
Last updated
12/06/2007
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