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1871095950
JORDON LEE BAKER
MANSFIELD, OH
NPI
1871095950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH 401880740716)
Enumeration Date
2018-03-05
Last Update Date
2018-03-05
Business Address
JORDON LEE BAKER STNA
120 CARPENTER RD
MANSFIELD, OH 44903-2208
Phone number: 419-543-1084
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Mailing Address
JORDON LEE BAKER STNA
120 CARPENTER RD
MANSFIELD, OH 44903-2208
Phone number: 419-543-1084
Copy
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