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1164512794
JAN E. BAKER
SALT LAKE CITY, UT
NPI
1164512794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 214960-4405)
Enumeration Date
2006-10-13
Last Update Date
2012-07-19
Business Address
JAN E. BAKER APRN
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2719
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Mailing Address
JAN E. BAKER APRN
PO BOX 413028
SALT LAKE CITY, UT 84141-3028
Phone number: 801-213-3900
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