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1891715868
NANCY JEAN BAKER
DALLAS, OR
NPI
1891715868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Mrs. NANCY JEAN BAKER ATC
550 SE WASHINGTON STREET
DALLAS, OR 97338
Phone number: 503-623-7305
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Mailing Address
Mrs. NANCY JEAN BAKER ATC
1465 SW FAIRVIEW AVE
DALLAS, OR 97338-2329
Phone number: 503-623-2142
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