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1891865093
JERRY CHARLES BAKKA
DULUTH, MN
NPI
1891865093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY15103)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
DR. JERRY CHARLES BAKKA PH.D.
205 W 2ND ST SUITE 437
DULUTH, MN 55802-1928
Phone number: 218-722-2005
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Mailing Address
DR. JERRY CHARLES BAKKA PH.D.
2316 E 1ST ST
DULUTH, MN 55812-1807
Phone number: 218-728-1162
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