JACOB TYLER BAKER

GRAND JUNCTION, CO
NPI1104471515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-08-03
Last Update Date2019-08-03
Business Address
JACOB TYLER BAKER
408 STONERIDGE CT
GRAND JUNCTION, CO 81507-1655
Phone number: 334-654-0456
Mailing Address
JACOB TYLER BAKER
408 STONERIDGE CT
GRAND JUNCTION, CO 81507-1655
Phone number: 334-654-0456
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