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Individual

GLENDORA Y BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1554 N MEADOWCREST BLVD, CRYSTAL RIVER, FL 34429-5756
(352) 228-4470
Mailing address
5001 SW 20TH ST APT 1301, OCALA, FL 34474-8543
(352) 207-5758

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/26/2021
Last updated
04/26/2021
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