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1104032010
CATHERINE S SACKETT
BALTIMORE, MD
NPI
1104032010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R051350)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Mrs. CATHERINE S SACKETT CRNP
5600 NATHAN SHOCK DR GRC HANDLS
BALTIMORE, MD 21224-6825
Phone number: 410-558-8015
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Mailing Address
Mrs. CATHERINE S SACKETT CRNP
11420 MANOR RD
GLEN ARM, MD 21057-9412
Phone number: 410-882-9845
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