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1679561542
ANGIE PRUITT BAKER
FORT RILEY, KS
NPI
1679561542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2466)
Enumeration Date
2005-10-13
Last Update Date
2021-02-11
Business Address
ANGIE PRUITT BAKER O.D.
8072 NORMANDY DR
FORT RILEY, KS 66442-7069
Phone number: 785-240-5516
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Mailing Address
ANGIE PRUITT BAKER O.D.
1509 LITTLE KITTEN AVE
MANHATTAN, KS 66503-7578
Phone number: 785-313-2796
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