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1508257650
JEFFERY ROBERT BAKER
COLUMBIA, MO
NPI
1508257650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2020035276)
Enumeration Date
2015-02-11
Last Update Date
2022-11-15
Business Address
JEFFERY ROBERT BAKER MA, LAT, ATC
1 CHAMPIONS DR SUITE 200
COLUMBIA, MO 65211-6505
Phone number: 573-239-8756
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Mailing Address
JEFFERY ROBERT BAKER MA, LAT, ATC
1 CHAMPIONS DR SUITE 200
COLUMBIA, MO 65211-0001
Phone number: 573-239-8756
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