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1255996096
MADALYNN JOY BAKER
MODESTO, CA
NPI
1255996096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95011390)
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
MADALYNN JOY BAKER
3621 FOREST GLENN DR
MODESTO, CA 95355-1339
Phone number: 209-521-7411
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Mailing Address
MADALYNN JOY BAKER
3621 FOREST GLENN DR
MODESTO, CA 95355-1339
Phone number: 209-521-7411
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