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Individual
MS. SHANNON MARIE BAKER
Active
Individual
MS. SHANNON MARIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
SC
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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