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1851804512
TERRELL LAMAR BAKER
BOULDER CITY, NV
NPI
1851804512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
TERRELL LAMAR BAKER
200 WILSON CIR
BOULDER CITY, NV 89005-4401
Phone number: 702-294-7100
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Mailing Address
TERRELL LAMAR BAKER
200 WILSON CIR
BOULDER CITY, NV 89005-4401
Phone number: 702-294-7100
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