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1336876002
CHRISTOPHER L BAKER
LOGAN, WV
NPI
1336876002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 20-933)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
CHRISTOPHER L BAKER
1112 ENTERPRISE DRIVE
LOGAN, WV 25601
Phone number: 304-896-6871
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Mailing Address
CHRISTOPHER L BAKER
1112 ENTERPRISE DRIVE
LOGAN, WV 25601
Phone number: 304-896-6871
Copy
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