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1811526031
MALISSA ABENA BAKER
STONE MOUNTAIN, GA
NPI
1811526031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
MALISSA ABENA BAKER
4982 VILLAGER LN
STONE MOUNTAIN, GA 30083-3698
Phone number: 404-259-1896
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Mailing Address
MALISSA ABENA BAKER
4982 VILLAGER LN
STONE MOUNTAIN, GA 30083-3698
Phone number: 404-259-1896
Copy
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