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1003092107
JERRY L BAKER
ONEIDA, NY
NPI
1003092107
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Entity Type
Organization
Authorized Contact
JERRY L BAKER
Owner
315-363-6690
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NY VUT003219)
Enumeration Date
2008-01-18
Last Update Date
2012-11-30
Business Address
JERRY L BAKER
581 MAIN ST
ONEIDA, NY 13421-2452
Phone number: 315-363-6690
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Mailing Address
JERRY L BAKER
581 MAIN ST
ONEIDA, NY 13421-2452
Phone number: 315-363-6690
Copy
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