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Individual

JACQUELINE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
7410 DELAWARE LN, VANCOUVER, WA 98664-1408
(360) 896-5128
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60755365
WA

Other

Enumeration date
04/20/2017
Last updated
04/27/2017
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