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1053650960
MARY J. BAKER
SHADY COVE, OR
NPI
1053650960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201350028NP)
Enumeration Date
2013-02-13
Last Update Date
2020-08-12
Business Address
MARY J. BAKER FNP
21990 HIGHWAY 62
SHADY COVE, OR 97539-9717
Phone number: 541-878-2022
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Mailing Address
MARY J. BAKER FNP
PO BOX 428
SHADY COVE, OR 97539-0428
Phone number: 541-878-2022
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