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1598326639
AUSTIN BAKER
IDAHO FALLS, ID
NPI
1598326639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: MO 2019023472)
Enumeration Date
2019-06-27
Last Update Date
2024-08-20
Business Address
AUSTIN BAKER DO
3200 CHANNING WAY STE A105
IDAHO FALLS, ID 83404-7561
Phone number: 208-552-9530
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Mailing Address
AUSTIN BAKER DO
715 CASTLEROCK LN
IDAHO FALLS, ID 83404-7997
Phone number: 208-709-7082
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