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1023230067
JYLENE CANDELARIA PRUNA
BALTIMORE, MD
NPI
1023230067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 21837)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- JYLENE CANDELARIA PRUNA PT
301 SAINT PAUL ST
BALTIMORE, MD 21202-2102
Phone number: 410-659-9688
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Mailing Address
-- JYLENE CANDELARIA PRUNA PT
PO BOX 1875
GLEN BURNIE, MD 21060-1875
Phone number: 443-315-3311
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