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1003817016
DOREATHA J BAKER
SAINT PAUL, MN
NPI
1003817016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN R091715-1)
Enumeration Date
2005-08-02
Last Update Date
2007-07-08
Business Address
-- DOREATHA J BAKER CPNP
347 SMITH AVE N
SAINT PAUL, MN 55102-2387
Phone number: 651-220-6708
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Mailing Address
-- DOREATHA J BAKER CPNP
2910 CENTRE POINTE DR 35-121A
ROSEVILLE, MN 55113-1182
Phone number: 651-855-2327
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