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1356803753
JORDAN BAKER
LODI, CA
NPI
1356803753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA 20A19373)
Enumeration Date
2019-04-03
Last Update Date
2023-08-02
Business Address
JORDAN BAKER DO
975 S FAIRMONT AVE
LODI, CA 95240-5118
Phone number: 209-334-3411
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Mailing Address
JORDAN BAKER DO
1163 E. MARCH LANE SUITE D #366
STOCKTON, CA 95210-4512
Phone number:
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