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1508169988
TIMOTHY J BAKER
FONTANA, CA
NPI
1508169988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
242T00000X Perfusionist
(Licence: None)
Enumeration Date
2010-12-07
Last Update Date
2010-12-07
Business Address
-- TIMOTHY J BAKER CCP
15239 PORTICO LN
FONTANA, CA 92336-1021
Phone number: 909-740-4114
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Mailing Address
-- TIMOTHY J BAKER CCP
15239 PORTICO LN
FONTANA, CA 92336-1021
Phone number: 909-740-4114
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