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RUSSELL ALAN BAKER

>> Rehabilitation Counselor >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1104062421

Individual Registrant:
 RUSSELL ALAN BAKER 
Gender: M
Sole Proprietor

Location and contact information for practice:
7200 SKYWAY  PARADISE, CA 95969-3280 US
Tel: 530-877-1965  Fax: 530-872-7784

Contact information for business:
7200 SKYWAY  PARADISE, CA 95969-3280 US
Tel: 530-877-1965  Fax: 530-872-7784

Registration Information:
NPI: 1104062421
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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