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Individual

BRYAN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 9TH ST STE D, VIENNA, WV 26105-2176
(304) 428-6148
Mailing address
1100 9TH ST STE D, VIENNA, WV 26105-2176

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
10/27/2021
Last updated
10/27/2021
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