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1003853961
SARA A DIVALL
BALTIMORE, MD
NPI
1003853961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: MD D64567)
Enumeration Date
2006-06-01
Last Update Date
2014-01-22
Business Address
-- SARA A DIVALL M.D.
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-6463
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Mailing Address
-- SARA A DIVALL M.D.
PO BOX 64316
BALTIMORE, MD 21264-4316
Phone number:
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