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1508337197
DEREK BAKER
CLINTON TOWNSHIP, MI
NPI
1508337197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704293006)
Enumeration Date
2018-12-08
Last Update Date
2018-12-08
Business Address
DEREK BAKER
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3504
Phone number: 586-263-2715
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Mailing Address
DEREK BAKER
5767 SHANNON LN
CLARKSTON, MI 48348-5168
Phone number: 248-535-8644
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