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Individual

KATRINA ROBINSON-BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1553 CLARK ST, CLEARWATER, FL 33755-3510
(727) 447-4685
Mailing address
1553 CLARK ST, CLEARWATER, FL 33755-3510

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906414
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006523800
FL
Enumeration date
09/06/2013
Last updated
09/06/2013
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