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Individual

MRS. NANCY JEAN BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
550 SE WASHINGTON STREET, DALLAS, OR 97338
(503) 623-7305
(503) 623-7325
Mailing address
1465 SW FAIRVIEW AVE, DALLAS, OR 97338-2329
(503) 623-2142

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
OR

Other

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