JEFFREY MARCUS BAKER

BIG STONE GAP, VA
NPI1467577403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
Mr. JEFFREY MARCUS BAKER
100 LAUREL RIDGE POLLY SUMMIT GROUP HOME
BIG STONE GAP, VA 24219
Phone number: 276-523-0028
Mailing Address
Mr. JEFFREY MARCUS BAKER
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600