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1689673709
LARRY BAKER
SACRAMENTO, CA
NPI
1689673709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12823)
Enumeration Date
2005-07-20
Last Update Date
2007-07-08
Business Address
-- LARRY BAKER PA
4001 J ST
SACRAMENTO, CA 95819-3626
Phone number: 916-453-4528
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Mailing Address
-- LARRY BAKER PA
1500 EXPO PKWY
SACRAMENTO, CA 95815-4227
Phone number: 916-646-8300
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