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1710443122
MATILDA BAKER
VAIL, CO
NPI
1710443122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-02-11
Last Update Date
2021-12-08
Business Address
MATILDA BAKER
181 W MEADOW DR
VAIL, CO 81657-5242
Phone number: 970-476-1100
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Mailing Address
MATILDA BAKER
PO BOX 3538
VAIL, CO 81658-3538
Phone number: 571-438-5885
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