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1043236722
MICHAEL LEO BAKER
ROLLING FORK, MS
NPI
1043236722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 15475)
Enumeration Date
2006-07-14
Last Update Date
2017-07-24
Business Address
Dr. MICHAEL LEO BAKER D.O.
29 S FOURTH ST
ROLLING FORK, MS 39159-5146
Phone number: 662-873-4361
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Mailing Address
Dr. MICHAEL LEO BAKER D.O.
702 MARTIN LUTHER KING ST
MOUND BAYOU, MS 38762-9314
Phone number: 662-741-8800
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