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Individual

JESSICA BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3250 INTERTECH DR STE A, ANGOLA, IN 46703-7224
(260) 665-2646
(260) 665-8707
Mailing address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
(260) 665-2646
(260) 665-8707

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28211786A
IN

Other

Enumeration date
12/01/2021
Last updated
12/01/2021
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