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1548673635
KATHLEEN DE BAKER
WYANDOTTE, MI
NPI
1548673635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704152106)
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
-- KATHLEEN DE BAKER
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-246-5524
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Mailing Address
-- KATHLEEN DE BAKER
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-246-5524
Copy
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