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1295236057
STEPHONE DELANO DEVANTE BAKER
DAYTONA BEACH, FL
NPI
1295236057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
226300000X Kinesiotherapist
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
MR. STEPHONE DELANO DEVANTE BAKER
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114-3012
Phone number: 386-481-2000
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Mailing Address
MR. STEPHONE DELANO DEVANTE BAKER
7216 WHITE TRILLIUM CIR
ORLANDO, FL 32818-1275
Phone number: 407-702-3055
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