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1740063502
LACEY KAYE BAKER
VAN BUREN, AR
NPI
1740063502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
LACEY KAYE BAKER
1109 FAYETTEVILLE RD
VAN BUREN, AR 72956-3363
Phone number: 479-474-6444
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Mailing Address
LACEY KAYE BAKER
7010 CHAD COLLEY BLVD APT 704
FORT SMITH, AR 72916-6408
Phone number:
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