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1518293406
CHARLES ALLEN BAKER
PLACERVILLE, CA
NPI
1518293406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-10-27
Last Update Date
2009-10-27
Business Address
Mr. CHARLES ALLEN BAKER
893 SPRING ST
PLACERVILLE, CA 95667-4437
Phone number: 530-622-8193
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Mailing Address
Mr. CHARLES ALLEN BAKER
893 SPRING ST
PLACERVILLE, CA 95667-4437
Phone number: 530-622-8193
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