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1760410054
JOLENE ELIZABETH BAKER
STOCKTON, CA
NPI
1760410054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
Ms. JOLENE ELIZABETH BAKER MA, ATC
ATHLETIC DEPARTMENT 3601 PACIFIC AVE.
STOCKTON, CA 95211-0001
Phone number: 209-946-2588
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Mailing Address
Ms. JOLENE ELIZABETH BAKER MA, ATC
6610 N. EMBARCADERO, #5
STOCKTON, CA 95219
Phone number: 209-946-2588
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