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1013069004
TAMARA JEAN RILEY
BALTIMORE, MD
NPI
1013069004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MD LP26514)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- TAMARA JEAN RILEY LPN
111 PARK AVE
BALTIMORE, MD 21201-3402
Phone number: 410-837-5533
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Mailing Address
-- TAMARA JEAN RILEY LPN
1804 MAXWELL AVE
DUNDALK, MD 21222-2912
Phone number: 410-284-6823
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