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1083724058
LISA JANE BAKER
BLOOMINGTON, IN
NPI
1083724058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12009106)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. LISA JANE BAKER D.D.S.
4217 E 3RD ST
BLOOMINGTON, IN 47401-5550
Phone number: 812-332-2000
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Mailing Address
Dr. LISA JANE BAKER D.D.S.
4217 E 3RD ST
BLOOMINGTON, IN 47401-5550
Phone number: 812-332-2000
Copy
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