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1053896563
SAMANTHA JANE BAKER
RADCLIFF, KY
NPI
1053896563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: KY 1125296)
Enumeration Date
2018-10-01
Last Update Date
2018-10-05
Business Address
SAMANTHA JANE BAKER APRN
700 W LINCOLN TRAIL BLVD
RADCLIFF, KY 40160-2604
Phone number: 270-351-3192
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Mailing Address
SAMANTHA JANE BAKER APRN
700 W LINCOLN TRAIL BLVD
RADCLIFF, KY 40160-2604
Phone number: 270-351-3192
Copy
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