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1609054022
RICHARD BAKER
MUNCIE, IN
NPI
1609054022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-07
Last Update Date
2008-02-07
Business Address
-- RICHARD BAKER
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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Mailing Address
-- RICHARD BAKER
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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