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1912622002
SHAKETTA BAKER
MERRILLVILLE, IN
NPI
1912622002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: IN A8G5W2T3)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
SHAKETTA BAKER
7722 GRANT ST UNIT B
MERRILLVILLE, IN 46410-5493
Phone number: 773-953-0785
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Mailing Address
SHAKETTA BAKER
7722 GRANT ST UNIT B
MERRILLVILLE, IN 46410-5493
Phone number: 773-953-0785
Copy
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