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1639691009
JEREMY BAKER
MASON CITY, IA
NPI
1639691009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-07
Last Update Date
2022-07-21
Business Address
JEREMY BAKER tCADC
320 N EISENHOWER AVENUE
MASON CITY, IA 50401
Phone number: 641-243-7258
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Mailing Address
JEREMY BAKER tCADC
320 N EISENHOWER AVE
MASON CITY, IA 50401-1521
Phone number: 641-243-7258
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