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1588292775
KYLE TYLER BAKER
DAYTON, OH
NPI
1588292775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH CDCA.172450)
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
KYLE TYLER BAKER
43 E BABBITT ST
DAYTON, OH 45405-4903
Phone number: 937-253-1680
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Mailing Address
KYLE TYLER BAKER
375 CROCKETT DR
SPRINGBORO, OH 45066-8645
Phone number: 937-681-6446
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