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1053643064
JOHN P BAKER
CHAMPAIGN, IL
NPI
1053643064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WI NO.2819-057)
Enumeration Date
2010-02-02
Last Update Date
2020-01-29
Business Address
Dr. JOHN P BAKER PhD
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-365-2855
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Mailing Address
Dr. JOHN P BAKER PhD
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number:
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