KENNETH EARL BAKER

MCMINNVILLE, OR
NPI1134101876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-746539)
Enumeration Date2005-11-17
Last Update Date2016-07-26
Business Address
Mr. KENNETH EARL BAKER MS, ATC/R
2835 NE DESTINY DR
MCMINNVILLE, OR 97128-8885
Phone number: 503-476-4321
Mailing Address
Mr. KENNETH EARL BAKER MS, ATC/R
2835 NE DESTINY DR
MCMINNVILLE, OR 97128-8885
Phone number: 503-476-4321
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