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Individual

GAVIN A. BAKKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
3810 KERN WAY STE D, YAKIMA, WA 98902-7805
(509) 248-4303
(509) 469-2441
Mailing address
214 N 63RD AVE, YAKIMA, WA 98908-2703
(509) 961-1850

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN60835963
WA
363L00000X
Nurse Practitioner
Primary
AP61491164
WA

Other

Enumeration date
08/07/2023
Last updated
10/12/2023
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