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1104416593
WANDA ALISA SHIRD
BALTIMORE, MD
NPI
1104416593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: MD 30AL3878)
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
WANDA ALISA SHIRD
4406 BELLE AVE
BALTIMORE, MD 21207-7645
Phone number: 443-523-7964
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Mailing Address
WANDA ALISA SHIRD
4406 BELLE AVE
BALTIMORE, MD 21207-7645
Phone number: 443-523-7964
Copy
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