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1134629553
JACQUELINE DEVITA
BALTIMORE, MD
NPI
1134629553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R154589)
Enumeration Date
2018-02-13
Last Update Date
2018-02-13
Business Address
JACQUELINE DEVITA
1800 E FORT AVE
BALTIMORE, MD 21230-5338
Phone number: 410-746-2577
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Mailing Address
JACQUELINE DEVITA
1800 E FORT AVE
BALTIMORE, MD 21230-5338
Phone number:
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