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1912054487
JIMMY MACK BAKER
SANTA MARIA, CA
NPI
1912054487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A44906)
Enumeration Date
2007-01-05
Last Update Date
2021-06-18
Business Address
JIMMY MACK BAKER MD
2801 SANTA MARIA WAY
SANTA MARIA, CA 93455-2118
Phone number: 805-934-5400
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Mailing Address
JIMMY MACK BAKER MD
2050 S BLOSSER RD
SANTA MARIA, CA 93458-7310
Phone number: 805-361-8030
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