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Individual

JORDAN NICOLE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
2203 SW COURT AVE, PENDLETON, OR 97801-1896
(541) 966-9971
Mailing address
2203 SW COURT AVE, PENDLETON, OR 97801-1896
(541) 966-9971

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014517
OR

Other

Enumeration date
03/18/2015
Last updated
03/18/2015
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