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1104602663
LUKE PATRICK BAKER
WAUWATOSA, WI
NPI
1104602663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: WI 0-23-14719)
Enumeration Date
2023-08-31
Last Update Date
2023-09-01
Business Address
LUKE PATRICK BAKER
10930 W POTTER RD STE A
WAUWATOSA, WI 53226-3450
Phone number: 224-406-0559
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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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