Individual
DEBORAH R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
(701) 642-7055
Mailing address
332 2ND AVE N, WAHPETON, ND 58075
(701) 642-7000
(701) 642-7055
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
695
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51169
—
ND
Enumeration date
07/13/2006
Last updated
12/27/2007
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