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1154173466
CHEYENNE SUMMERVILLE
BALTIMORE, MD
NPI
1154173466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MD 01115-22-A)
Enumeration Date
2024-04-02
Last Update Date
2024-05-06
Business Address
CHEYENNE SUMMERVILLE Certified Community
120 PENN ST
BALTIMORE, MD 21201-1082
Phone number: 410-706-2501
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Mailing Address
CHEYENNE SUMMERVILLE Certified Community
250 W PRATT ST STE 880
BALTIMORE, MD 21201-6829
Phone number: 667-214-1301
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