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1023613015
BATAVIA ANTONETTE GILLIS
WALDORF, MD
NPI
1023613015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: MD R167761)
Enumeration Date
2020-11-30
Last Update Date
2020-12-26
Business Address
BATAVIA ANTONETTE GILLIS RN
14765 GALLANT LN
WALDORF, MD 20601-5516
Phone number: 240-784-0506
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Mailing Address
BATAVIA ANTONETTE GILLIS RN
14765 GALLANT LN
WALDORF, MD 20601-5516
Phone number: 240-784-0506
Copy
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