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Individual

BRIAN LEE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPED

Contact information

Practice address
413 S TILLOTSON AVE STE 4, MUNCIE, IN 47304-4368
(765) 281-8900
(765) 281-8999
Mailing address
1623 W ADAMS ST, MUNCIE, IN 47303-4938
(765) 282-9187

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
06/25/2007
Last updated
07/08/2007
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