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1760907091
MICAH BAKER
ROGERS, AR
NPI
1760907091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: AR 13-30EI)
Enumeration Date
2017-08-08
Last Update Date
2018-11-29
Business Address
MR. MICAH BAKER LPE
1601 S RAINBOW RD
ROGERS, AR 72758
Phone number: 479-254-1144
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Mailing Address
MR. MICAH BAKER LPE
1601 S RAINBOW RD
ROGERS, AR 72758-8821
Phone number: 479-254-1144
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