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1821613332
CALEB BAKKER
FORT DODGE, IA
NPI
1821613332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 001224)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
CALEB BAKKER
1 TRITON CIR
FORT DODGE, IA 50501-5798
Phone number: 515-574-1394
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Mailing Address
CALEB BAKKER
1 TRITON CIR
FORT DODGE, IA 50501-5798
Phone number:
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