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1013262393
JORDAN RENEE BAKER
CHARLOTTE, NC
NPI
1013262393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03625)
Enumeration Date
2012-07-23
Last Update Date
2024-07-15
Business Address
JORDAN RENEE BAKER PA
12016 LEMMOND FARM DR STE 100
CHARLOTTE, NC 28227-8353
Phone number: 704-863-9615
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Mailing Address
JORDAN RENEE BAKER PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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