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1104602663
LUKE PATRICK BAKER
KENOSHA, WI
NPI
1104602663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: WI 0-23-14719)
Enumeration Date
2023-08-31
Last Update Date
2024-09-15
Business Address
LUKE PATRICK BAKER
4006 WASHINGTON RD STE A
KENOSHA, WI 53144-4819
Phone number: 262-204-5697
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Mailing Address
LUKE PATRICK BAKER
7107 104TH AVE UNIT P
KENOSHA, WI 53142-7889
Phone number: 224-406-0559
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