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1396006730
JAMIE LYNN BAKER
GRANITE CITY, IL
NPI
1396006730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160005708)
Enumeration Date
2012-06-01
Last Update Date
2012-06-01
Business Address
MISS JAMIE LYNN BAKER LPTA
1247 LEE ST
GRANITE CITY, IL 62040-7139
Phone number: 618-977-6752
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Mailing Address
MISS JAMIE LYNN BAKER LPTA
1247 LEE ST
GRANITE CITY, IL 62040-7139
Phone number: 618-977-6752
Copy
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