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1073553277
JUSTIN KIRK
BALTIMORE, MD
NPI
1073553277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0003109)
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
-- JUSTIN KIRK PA
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 410-550-7679
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Mailing Address
-- JUSTIN KIRK PA
5211 DAYBROOK CIR APT 128
BALTIMORE, MD 21237-5050
Phone number: 410-931-1791
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