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1780171298
KYLE BAKER
FORT WASHAKIE, WY
NPI
1780171298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT PTP-PT-LIC-13199)
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
KYLE BAKER DPT
29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Phone number: 307-332-7300
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Mailing Address
KYLE BAKER DPT
29 BLACK COAL DRIVE
FORT WASHAKIE, WY 82514
Phone number: 307-332-7300
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