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1073908612
SHIRELY COOPER FULLARD
BALTIMORE, MD
NPI
1073908612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00485300)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
-- SHIRELY COOPER FULLARD Ma, CCC-SLP
416 E 30TH ST
BALTIMORE, MD 21218-3934
Phone number: 410-889-0727
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Mailing Address
-- SHIRELY COOPER FULLARD Ma, CCC-SLP
416 E 30TH ST
BALTIMORE, MD 21218-3934
Phone number: 410-889-0727
Copy
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