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1326602939
MATTHEW JERROD BAKER
TARZANA, CA
NPI
1326602939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-29
Last Update Date
2019-04-29
Business Address
Mr. MATTHEW JERROD BAKER
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-654-3908
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Mailing Address
Mr. MATTHEW JERROD BAKER
300 W 2ND ST APT 156
SANTA ANA, CA 92701-5232
Phone number: 423-618-8325
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