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1245657477
PATRICK DEACHILLA
BALTIMORE, MD
NPI
1245657477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD A0000409)
Enumeration Date
2014-03-26
Last Update Date
2014-03-26
Business Address
Mr. PATRICK DEACHILLA MS, LAT, ATC
5601 LOCH RAVEN BLVD RUSSELL MORGAN BUILDING SUITE 405
BALTIMORE, MD 21239-2945
Phone number: 443-444-4764
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Mailing Address
Mr. PATRICK DEACHILLA MS, LAT, ATC
438 E CROSS ST
BALTIMORE, MD 21230-4126
Phone number: 717-515-5088
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