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1497511364
KEITH LEVEQ BAKER
SOUTHAVEN, MS
NPI
1497511364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MS P-1069)
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
KEITH LEVEQ BAKER PLPC
5740 GETWELL RD STE D
SOUTHAVEN, MS 38672-6346
Phone number: 601-790-0583
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Mailing Address
KEITH LEVEQ BAKER PLPC
22015 HALLIBURTON CV
OXFORD, MS 38655-7357
Phone number: 225-505-9630
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