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Individual

KATHERYN ANN BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
213 GARRISONWAY, FRUITLAND, MD 21826
(502) 413-5841
Mailing address
C CO 302 BSB ATTN: TMC, UNIT 15609, APO, AP 96224
(502) 413-5841

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R121393
MD

Other

Enumeration date
04/23/2009
Last updated
04/23/2009
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