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1114231958
DEIDRA DAVIS
BALTIMORE, MD
NPI
1114231958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: MD A00084709)
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
-- DEIDRA DAVIS
1243 WASHINGTON BLVD
BALTIMORE, MD 21230-1826
Phone number: 443-717-7345
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Mailing Address
-- DEIDRA DAVIS
1243 WASHINGTON BLVD
BALTIMORE, MD 21230
Phone number: 443-717-7345
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