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1013417930
KRYSTAL BAKER
PHOENIX, AZ
NPI
1013417930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP047817)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
KRYSTAL BAKER LPN
2301 W THOMAS RD
PHOENIX, AZ 85015-5904
Phone number: 602-257-3880
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Mailing Address
KRYSTAL BAKER LPN
11015 W ELM LN
AVONDALE, AZ 85323-8366
Phone number: 480-233-4745
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