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1992850275
JACK W BAKER
CEDAR RAPIDS, IA
NPI
1992850275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IA 00259)
Enumeration Date
2007-01-24
Last Update Date
2007-07-09
Business Address
Mr. JACK W BAKER M.S.
1730 HIDDEN HOLLOW LN NW
CEDAR RAPIDS, IA 52405-1545
Phone number: 319-393-5544
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Mailing Address
Mr. JACK W BAKER M.S.
1730 HIDDEN HOLLOW LN NW
CEDAR RAPIDS, IA 52405-1545
Phone number: 319-393-5544
Copy
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