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1942834718
DYLAN BAKER
MOULTRIE, GA
NPI
1942834718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003357)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
DYLAN BAKER
3100 VETERANS PKWY S
MOULTRIE, GA 31788-9400
Phone number: 229-890-3553
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Mailing Address
DYLAN BAKER
19 MCDONALD CT SE
MOULTRIE, GA 31788
Phone number: 843-568-4613
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