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1245999432
KELSEY KATHERINE BAKER
FORT GRATIOT, MI
NPI
1245999432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704316627)
Enumeration Date
2021-12-15
Last Update Date
2021-12-15
Business Address
KELSEY KATHERINE BAKER CPNP
3030 COMMERCE DR
FORT GRATIOT, MI 48059-3819
Phone number: 810-385-5995
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Mailing Address
KELSEY KATHERINE BAKER CPNP
17700 25 MILE RD
MACOMB, MI 48042-1711
Phone number: 586-785-9128
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