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1164101655
TAYLOR VANTASSELL
BALTIMORE, MD
NPI
1164101655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 09999)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
TAYLOR VANTASSELL
6451 N CHARLES ST
BALTIMORE, MD 21212-1010
Phone number: 877-407-3422
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Mailing Address
TAYLOR VANTASSELL
7 CARNEGIE PLZ
CHERRY HILL, NJ 08003-1000
Phone number: 877-407-3422
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