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Individual

MR. JEFF BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.PH.

Contact information

Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 481-1195
Mailing address
2012 HINDS CREEK RD, HEISKELL, TN 37754-3422
(865) 494-3629

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10395
TN

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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