Individual
MYRA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W NORTH COLLEGE ST, YELLOW SPRINGS, OH 45387-1500
(937) 416-6124
Mailing address
PO BOX 528, YELLOW SPRINGS, OH 45387-0528
(937) 416-6124
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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