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1154002475
STEFANIE BROCKER
BALTIMORE, MD
NPI
1154002475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86043008)
Enumeration Date
2023-07-28
Last Update Date
2023-07-28
Business Address
STEFANIE BROCKER RD
800 LINDEN AVE FL 8
BALTIMORE, MD 21201-4622
Phone number: 443-682-6800
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Mailing Address
STEFANIE BROCKER RD
131 N PATTERSON PARK AVE
BALTIMORE, MD 21231-1659
Phone number: 540-761-4269
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