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1215216452
JEFFREY LYNN BAKER
OMAHA, NE
NPI
1215216452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 462)
Enumeration Date
2011-08-05
Last Update Date
2011-08-05
Business Address
Mr. JEFFREY LYNN BAKER PTA
5505 GROVER ST
OMAHA, NE 68106-3718
Phone number: 402-558-0225
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Mailing Address
Mr. JEFFREY LYNN BAKER PTA
2124 S 113TH AVE
OMAHA, NE 68144-3030
Phone number: 402-933-0293
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