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1912070863
COLETTE BAKER
LAVEEN, AZ
NPI
1912070863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: AZ 5332)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
-- COLETTE BAKER PT
7231 S 71ST LN
LAVEEN, AZ 85339-2620
Phone number: 480-242-5903
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Mailing Address
-- COLETTE BAKER PT
7231 S 71ST LN
LAVEEN, AZ 85339-2620
Phone number: 480-242-5903
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