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1215599063
KARA BETH IACOVELLA
GLEN BURNIE, MD
NPI
1215599063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R189331)
Enumeration Date
2019-07-02
Last Update Date
2019-07-19
Business Address
Mrs. KARA BETH IACOVELLA CRNP-PMH
1419 MADISON PARK DR
GLEN BURNIE, MD 21061-5613
Phone number: 410-768-2719
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Mailing Address
Mrs. KARA BETH IACOVELLA CRNP-PMH
7717 ZENA MARIE LN
PASADENA, MD 21122-1692
Phone number: 410-294-5211
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