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1902946056
TERRY RICHARD BAKER
LAFAYETTE, IN
NPI
1902946056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: IN 18001878A)
Enumeration Date
2007-02-07
Last Update Date
2008-06-05
Business Address
Dr. TERRY RICHARD BAKER OD
2300 SAGAMORE PARKWAY S
LAFAYETTE, IN 47904
Phone number: 765-471-1515
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Mailing Address
Dr. TERRY RICHARD BAKER OD
2300 SAGAMORE PARKWAY S
LAFAYETTE, IN 47904
Phone number: 765-471-1515
Copy
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