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1669899001
CANAAN WYATT BAKER
GREENSBORO, NC
NPI
1669899001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 5266)
Enumeration Date
2014-03-24
Last Update Date
2014-03-24
Business Address
MR. CANAAN WYATT BAKER PTA
6100 W FRIENDLY AVE
GREENSBORO, NC 27410
Phone number: 336-292-9952
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Mailing Address
MR. CANAAN WYATT BAKER PTA
3112 HAVASU WAY
HIGH POINT, NC 27265
Phone number: 336-609-2554
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