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1649911785
KENNETH J BAKER
ST PETERSBURG, FL
NPI
1649911785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ 26NJ01286000)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
KENNETH J BAKER
140 FOUNTAIN PKWY N STE 210
ST PETERSBURG, FL 33716-1285
Phone number: 727-796-2300
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Mailing Address
KENNETH J BAKER
140 FOUNTAIN PKWY N STE 210
ST PETERSBURG, FL 33716-1285
Phone number: 727-796-2300
Copy
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