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1588176994
MARK D. BAKER
COLVILLE, WA
NPI
1588176994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA Cg60793534)
Enumeration Date
2017-10-26
Last Update Date
2018-12-13
Business Address
MARK D. BAKER
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
MARK D. BAKER
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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