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Individual

MYLES BAXTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7974 COBB ST, CITRUS HEIGHTS, CA 95610-6937
(916) 509-2601
Mailing address
7974 COBB ST, CITRUS HEIGHTS, CA 95610-6937
(916) 509-2601

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
345920253
CA

Other

Enumeration date
05/26/2025
Last updated
07/22/2025
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