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Individual

MITCHELL BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
11531 SUNDERLAND RD, MARION, IL 62959-8274
(618) 964-5139
Mailing address
2993 N REED STATION RD APT 1, DE SOTO, IL 62924-3572
(330) 420-5915

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.569132
IL

Other

Enumeration date
10/17/2024
Last updated
10/17/2024
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