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1316524911
LARISSA KAY BAKER
NEWARK, NJ
NPI
1316524911
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Former Name
LARISSA KAY DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-28
Last Update Date
2021-03-28
Business Address
LARISSA KAY BAKER MD
185 S ORANGE AVE # MSBC595
NEWARK, NJ 07103-2757
Phone number: 973-972-3106
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Mailing Address
LARISSA KAY BAKER MD
185 S ORANGE AVE # MSBC595
NEWARK, NJ 07103-2757
Phone number:
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