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1154746261
EVERETT VINCENT BAKER
JOHNSON CITY, TN
NPI
1154746261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 18364)
Enumeration Date
2014-02-26
Last Update Date
2019-12-17
Business Address
Mr. EVERETT VINCENT BAKER Nurse Practitioner
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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Mailing Address
Mr. EVERETT VINCENT BAKER Nurse Practitioner
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
Copy
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