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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | DAKOTA MICHAEL ANTHONY BAKER | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | DAKOTA | [sources] | |||
| Last name | BAKER | [sources] | |||
| Middle name | MICHAEL ANTHONY | [sources] | |||
| Sector | Licensed Professional Clinical Counselor (LPCC) | [sources] | |||
| Address | 1405 SILVER LAKE RD, STE 17, NEW BRIGHTON, MN 55112 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended or terminated from Minnesota Health Care Programs.
United States · MHCP
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Medicaid authority · Minnesota Health Care Programs | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 1405 SILVER LAKE RD STE 17, NEW BRIGHTON, MN 55112 · 1405 SILVER LAKE RD, STE 17, NEW BRIGHTON, MN 55112 | United States | |