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1134533128
BENJAMIN BAKER
MEDFORD, OR
NPI
1134533128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA167672)
Enumeration Date
2014-06-17
Last Update Date
2018-04-26
Business Address
BENJAMIN BAKER PA
19 MYRTLE ST
MEDFORD, OR 97504-7337
Phone number: 541-773-3863
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Mailing Address
BENJAMIN BAKER PA
900 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-773-3863
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