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1144074030
KELLY CALVIN BAKER
TOOELE, UT
NPI
1144074030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: UT F24-111986)
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
KELLY CALVIN BAKER CM - Case Manager
60 S MAIN ST STE 6
TOOELE, UT 84074-2136
Phone number: 435-255-6150
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Mailing Address
KELLY CALVIN BAKER CM - Case Manager
60 S MAIN ST STE 6
TOOELE, UT 84074-2136
Phone number: 435-255-6150
Copy
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