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Individual

CHARLES DUANE BAKER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4847 SLIDE RD, LUBBOCK, TX 79414-3405
(806) 792-8267
Mailing address
5809 75TH ST, LUBBOCK, TX 79424-1727
(806) 698-8434

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35870
TX

Other

Enumeration date
11/27/2009
Last updated
11/27/2009
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