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MR. VIRGIL WAYNE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
4750 E. MOODY BLVD, SUITE # 105, BUNNELL, FL 32110-7710
(386) 263-2833
(386) 313-5134
Mailing address
4750 E. MOODY BLVD, SUITE # 105, BUNNELL, FL 32110-7710
(386) 263-2833
(386) 313-5134

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS2907
FL

Other

Enumeration date
04/17/2018
Last updated
04/17/2018
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