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Individual

TERRELL LAMAR BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 WILSON CIR, BOULDER CITY, NV 89005-4401
(702) 294-7100
Mailing address
200 WILSON CIR, BOULDER CITY, NV 89005-4401
(702) 294-7100

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
11/15/2017
Last updated
11/15/2017
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