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1790834638
WALLACE BAKER
VENTURA, CA
NPI
1790834638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A93801)
Enumeration Date
2007-01-09
Last Update Date
2023-07-10
Business Address
WALLACE BAKER MD
3291 LOMA VISTA RD
VENTURA, CA 93003-3099
Phone number: 805-652-6100
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Mailing Address
WALLACE BAKER MD
3291 LOMA VISTA RD
VENTURA, CA 93003-3099
Phone number: 805-652-6100
Copy
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