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Individual

SANDRA K BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10037 FREEDOMS WAY, KEITHVILLE, LA 71047-9206
(531) 229-2161
Mailing address
1201 O ST STE 309, LINCOLN, NE 68508-1400
(531) 229-2161

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15765692
NE
Enumeration date
01/25/2023
Last updated
01/25/2023
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