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Individual

BRANDON BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 964-1932
Mailing address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/08/2026
Last updated
01/08/2026
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