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1043941610
DUSTIN KYLE BAKER
BIRMINGHAM, AL
NPI
1043941610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 5746)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
DUSTIN KYLE BAKER COTA/L
622-692 10TH ST SW
BIRMINGHAM, AL 35211
Phone number: 205-783-3292
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Mailing Address
DUSTIN KYLE BAKER COTA/L
1306 ELDERBERRY ST
PELL CITY, AL 35128-7345
Phone number: 205-516-2842
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