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1912332719
RICHARD THOMAS BAKER
IDAHO FALLS, ID
NPI
1912332719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: ID PSY-202235)
Enumeration Date
2013-09-11
Last Update Date
2013-09-11
Business Address
Dr. RICHARD THOMAS BAKER Ph.D.
111 E 16TH ST
IDAHO FALLS, ID 83404-5919
Phone number: 208-523-1130
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Mailing Address
Dr. RICHARD THOMAS BAKER Ph.D.
4820 CLEARVIEW AVE
POCATELLO, ID 83204-5026
Phone number: 208-241-4955
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