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1396158309
STACI A BAKER
PLYMOUTH, MN
NPI
1396158309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R1813047)
Enumeration Date
2014-06-06
Last Update Date
2022-07-21
Business Address
-- STACI A BAKER NP-C
15700 37TH AVE N STE 150
PLYMOUTH, MN 55446-3675
Phone number: 651-968-5201
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Mailing Address
-- STACI A BAKER NP-C
710 COMMERCE DR STE 200
WOODBURY, MN 55125-4925
Phone number: 651-968-5201
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