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1851421374
BERT MANFRED BAKER
TACOMA, WA
NPI
1851421374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
207N00000X Dermatology
(Licence: TX PA02190)
Enumeration Date
2007-03-06
Last Update Date
2021-05-18
Business Address
BERT MANFRED BAKER PA-C
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2252
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Mailing Address
BERT MANFRED BAKER PA-C
4141 S STAPLES ST STE 300
CORPUS CHRISTI, TX 78411-0002
Phone number: 253-968-2252
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