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1043998719
AUTUMN K BAKER
WARREN, MI
NPI
1043998719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2000052738)
Enumeration Date
2023-07-11
Last Update Date
2023-07-11
Business Address
AUTUMN K BAKER
4404 GLENOAKS CT
WARREN, MI 48092-4196
Phone number: 313-939-8576
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Mailing Address
AUTUMN K BAKER
4404 GLENOAKS CT
WARREN, MI 48092-4196
Phone number: 313-939-8576
Copy
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