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Individual

JACOB LEE BAALMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
94 BLUE NILE LN, BLUE EYE, MO 65611-7384
(316) 641-0561
(252) 744-4125
Mailing address
94 BLUE NILE LN, BLUE EYE, MO 65611-7384
(316) 641-0561

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016013813
MO
207P00000X
Emergency Medicine Physician
E-9898
AR

Other

Enumeration date
06/04/2013
Last updated
02/10/2017
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