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1275164139
MARIA LOURDES EVANGELISTA
DUNDALK, MD
NPI
1275164139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MD R172336)
Enumeration Date
2020-01-30
Last Update Date
2022-11-30
Business Address
MARIA LOURDES EVANGELISTA CRNP-FAMILY
1576 MERRITT BLVD STE 18
DUNDALK, MD 21222-2132
Phone number: 855-527-7246
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Mailing Address
MARIA LOURDES EVANGELISTA CRNP-FAMILY
5728 FIELDCREST DR
WHITE MARSH, MD 21162-1143
Phone number: 410-256-0373
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