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1013336114
INGRID HALVORSON
FREDERICK, MD
NPI
1013336114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MD R175046)
Enumeration Date
2014-04-16
Last Update Date
2019-05-15
Business Address
INGRID HALVORSON
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702
Phone number: 301-662-8477
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Mailing Address
INGRID HALVORSON
PO BOX 37086
BALTIMORE, MD 21297-3086
Phone number: 240-344-1106
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