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1760039051
TIMOTHY M BAK
THE DALLES, OR
NPI
1760039051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-08-21
Last Update Date
2024-08-28
Business Address
TIMOTHY M BAK pa
551 LONE PINE BLVD
THE DALLES, OR 97058-9403
Phone number: 541-296-7724
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Mailing Address
TIMOTHY M BAK pa
551 LONE PINE BLVD
THE DALLES, OR 97058-9403
Phone number: 541-296-7724
Copy
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