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1467587675
MATTHEW W. BAKER
MICHIGAN CITY, IN
NPI
1467587675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18002051B)
Enumeration Date
2007-02-21
Last Update Date
2007-07-09
Business Address
-- MATTHEW W. BAKER O.D.
3901 FRANKLIN ST
MICHIGAN CITY, IN 46360-7314
Phone number: 219-878-6668
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Mailing Address
-- MATTHEW W. BAKER O.D.
207 LEEDS DR
VALPARAISO, IN 46383-2422
Phone number: 219-462-3679
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