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1114587284
MAKAYLA BAKER
O FALLON, IL
NPI
1114587284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IL B260-5559-8818)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
MAKAYLA BAKER
1001 STILL WATER DR
O FALLON, IL 62269-3482
Phone number: 618-593-4688
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Mailing Address
MAKAYLA BAKER
1001 STILL WATER DR
O FALLON, IL 62269-3482
Phone number: 618-593-4688
Copy
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