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1831575794
SAMUEL BAKER
PROVO, UT
NPI
1831575794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-08-03
Last Update Date
2015-08-03
Business Address
-- SAMUEL BAKER
721 W 1850 N
PROVO, UT 84604-1416
Phone number: 801-375-4240
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Mailing Address
-- SAMUEL BAKER
619 N 500 W
PROVO, UT 84601-1547
Phone number:
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