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Individual

MRS. DEBRA LYNN BAKER

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
4255 DIXIE WAY, MIMS, FL 32754-5150
(321) 267-7897
Mailing address
3007 FOLSOM RD, MIMS, FL 32754-2901
(321) 385-0157
(321) 385-0157

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
FL

Other

Enumeration date
04/10/2006
Last updated
07/09/2007
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