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1285390344
JACQUELINE BAKER
GRANTVILLE, GA
NPI
1285390344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA001688)
Enumeration Date
2021-11-12
Last Update Date
2021-11-12
Business Address
JACQUELINE BAKER
23 HILL TOP CIR
GRANTVILLE, GA 30220-2076
Phone number: 765-969-1616
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Mailing Address
JACQUELINE BAKER
23 HILL TOP CIR
GRANTVILLE, GA 30220-2076
Phone number: 765-969-1616
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