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1912686783
JEANETTE BAKER
SAN RAFAEL, CA
NPI
1912686783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-17
Last Update Date
2024-05-16
Business Address
JEANETTE BAKER
291 SMITH RANCH RD
SAN RAFAEL, CA 94903-2093
Phone number: 415-492-0818
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Mailing Address
JEANETTE BAKER
2000 ASCOT PKWY APT 3528
VALLEJO, CA 94591-7017
Phone number:
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