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1174385314
JERRICA BAKER
BEND, OR
NPI
1174385314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 211110271)
Enumeration Date
2024-01-24
Last Update Date
2024-01-24
Business Address
JERRICA BAKER
155 NE REVERE AVE STE 150
BEND, OR 97701-4147
Phone number: 541-617-4544
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Mailing Address
JERRICA BAKER
155 NE REVERE AVE STE 150
BEND, OR 97701-4147
Phone number: 541-617-4544
Copy
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