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1861658015
NICHOLAS EDWARD BAKER
BLOOMINGTON, IL
NPI
1861658015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.087687)
Enumeration Date
2008-08-06
Last Update Date
2008-08-06
Business Address
Dr. NICHOLAS EDWARD BAKER DMD
2206 E OAKLAND AVE
BLOOMINGTON, IL 61701-5761
Phone number: 309-662-5921
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Mailing Address
Dr. NICHOLAS EDWARD BAKER DMD
2206 E OAKLAND AVE
BLOOMINGTON, IL 61701-5761
Phone number: 309-662-5921
Copy
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