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Individual

CARA BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
819 VINNEDGE AVE, FAIRFIELD, OH 45014-1751
(606) 425-7425
Mailing address
819 VINNEDGE AVE, FAIRFIELD, OH 45014-1751

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.155241-M-IV
OH

Other

Enumeration date
07/21/2014
Last updated
07/21/2014
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