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1114941929
SCOTT MATTHEW BAKER
LANGLEY AFB, VA
NPI
1114941929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-003513)
Enumeration Date
2006-07-26
Last Update Date
2019-07-25
Business Address
Mr. SCOTT MATTHEW BAKER FNP-BC
633 MEDICAL OPERATIONS SQUADRON 77 NEALY AVE
LANGLEY AFB, VA 23665
Phone number: 757-225-7630
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Mailing Address
Mr. SCOTT MATTHEW BAKER FNP-BC
1381 SOUTH PATRICK DRIVE
PATRICK AFB, FL 32925
Phone number: 321-494-8241
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