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Individual
KELLY W BAKER
Active
Individual
KELLY W BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0216250
CA
Other
Enumeration date
01/29/2007
Last updated
09/28/2011
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