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1104322981
ALLYSON SARA IMPALLOMENI
BALTIMORE, MD
NPI
1104322981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-02
Last Update Date
2021-06-24
Business Address
ALLYSON SARA IMPALLOMENI MD
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-9000
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Mailing Address
ALLYSON SARA IMPALLOMENI MD
2947 RICHARDSON ST
FITCHBURG, WI 53711-5288
Phone number: 516-603-6826
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