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1487269445
JONATHAN WILLIAM BAKER
LOS ANGELES, CA
NPI
1487269445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-15
Last Update Date
2020-09-15
Business Address
JONATHAN WILLIAM BAKER
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-529-0963
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Mailing Address
JONATHAN WILLIAM BAKER
6710 FLORA AVE
BELL, CA 90201-2424
Phone number: 323-391-9726
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