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1407103666
JEFFREY BAKER
ST CHARLES, IL
NPI
1407103666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IL 978908)
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
-- JEFFREY BAKER
3815 E MAIN ST STE B
ST CHARLES, IL 60174-2488
Phone number: 630-584-7530
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Mailing Address
-- JEFFREY BAKER
3815 E MAIN ST STE B
ST CHARLES, IL 60174-2488
Phone number: 630-584-7530
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