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1891105524
JORDAN COLEMAN BAKER
MILWAUKEE, WI
NPI
1891105524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-05-02
Last Update Date
2014-05-02
Business Address
-- JORDAN COLEMAN BAKER
840 N 87TH ST
MILWAUKEE, WI 53226-3586
Phone number: 208-569-5265
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Mailing Address
-- JORDAN COLEMAN BAKER
840 N 87TH ST
MILWAUKEE, WI 53226-3586
Phone number: 208-569-5265
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