ROY JACKSON BAKER

COLORADO SPRINGS, CO
NPI1356810550
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CO  0043255)
Enumeration Date2018-11-16
Last Update Date2018-11-16
Business Address
ROY JACKSON BAKER LPN
521 ROWE LN
COLORADO SPRINGS, CO 80911-2624
Phone number: 719-213-8531
Mailing Address
ROY JACKSON BAKER LPN
5360 N ACADEMY BLVD
COLORADO SPRINGS, CO 80918-4006
Phone number: 719-434-2016
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