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Individual

JULIE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
45 N PINE ST, PORT ALLEGANY, PA 16743-1238
(814) 642-9655
(814) 642-9689
Mailing address
139 UPPER PORTAGE RD, PORT ALLEGANY, PA 16743-3221

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA000798
PA

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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