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1275517070
SAMUEL SUMPTER BAKER
MODESTO, CA
NPI
1275517070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: CA G36900)
Enumeration Date
2005-12-05
Last Update Date
2010-02-08
Business Address
Mr. SAMUEL SUMPTER BAKER
1401 SPANOS COURT SUITE 230
MODESTO, CA 95355-2816
Phone number: 209-521-9661
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Mailing Address
Mr. SAMUEL SUMPTER BAKER
1401 SPANOS COURT SUITE 230
MODESTO, CA 95355-7813
Phone number: 209-521-9661
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