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1366939217
VIRGIL WAYNE BAKER
BUNNELL, FL
NPI
1366939217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: FL AS2907)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
Mr. VIRGIL WAYNE BAKER BC-HIS
4750 E. MOODY BLVD SUITE # 105
BUNNELL, FL 32110-7710
Phone number: 386-263-2833
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Mailing Address
Mr. VIRGIL WAYNE BAKER BC-HIS
4750 E. MOODY BLVD SUITE # 105
BUNNELL, FL 32110-7710
Phone number: 386-263-2833
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