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Individual

JESSICA BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2202 M.L.K. JR BLVD, PARIS, KY 40361
(866) 934-7450
Mailing address
PO BOX 489, MILLERSBURG, KY 40348-0489
(859) 707-9082

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4000503
KY

Other

Enumeration date
04/26/2023
Last updated
04/26/2023
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