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1003222704
JEROME DEPETRIS
TOWSON, MD
NPI
1003222704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: MD R2580)
Enumeration Date
2014-07-02
Last Update Date
2014-07-02
Business Address
-- JEROME DEPETRIS
8601 LASALLE RD 100
TOWSON, MD 21286-2005
Phone number: 410-337-8910
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Mailing Address
-- JEROME DEPETRIS
8601 LASALLE ROAD SUITE 100
TOWSON, MD 21286-2005
Phone number: 410-337-8910
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