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1215797287
JESSIE GRACE BAKER
TIMBERVILLE, VA
NPI
1215797287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: VA 1101004552)
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
JESSIE GRACE BAKER
375 S MAIN ST
TIMBERVILLE, VA 22853-9522
Phone number: 540-896-0641
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Mailing Address
JESSIE GRACE BAKER
375 S MAIN ST
TIMBERVILLE, VA 22853-9522
Phone number: 540-896-0641
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