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1700135308
FRED BAKER
DAYTONA BEACH, FL
NPI
1700135308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
-- FRED BAKER BA, TCM
160 N. BEACH ST.
DAYTONA BEACH, FL 32114
Phone number: 386-689-5926
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Mailing Address
-- FRED BAKER BA, TCM
160 NORTH BEACH ST.
DAYTONA BEACH, FL 32114
Phone number: 386-689-5926
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