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1043663818
KELLY BAKER
MILWAUKEE, WI
NPI
1043663818
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Former Name
KELLY BROCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3828)
Enumeration Date
2016-07-18
Last Update Date
2021-01-15
Business Address
KELLY BAKER PAC
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-4874
Phone number: 414-266-6457
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Mailing Address
KELLY BAKER PAC
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-4874
Phone number: 414-266-6457
Copy
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