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Individual
NICHOLAS BAKER
Active
Individual
NICHOLAS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA86404
FL
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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