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1962266619
ELLIE ANNE BAKER
FAYETTEVILLE, AR
NPI
1962266619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery
(Licence: AR PT2024-014)
Enumeration Date
2024-02-12
Last Update Date
2024-06-10
Business Address
ELLIE ANNE BAKER PA-C
158 E SUNBRIDGE DR
FAYETTEVILLE, AR 72703-2830
Phone number: 479-222-0983
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Mailing Address
ELLIE ANNE BAKER PA-C
158 E SUNBRIDGE DR
FAYETTEVILLE, AR 72703-2830
Phone number: 479-222-0983
Copy
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