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1306202122
FADI PAUL JACOB
BALTIMORE, MD
NPI
1306202122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA 055347519)
Enumeration Date
2016-01-08
Last Update Date
2016-01-08
Business Address
-- FADI PAUL JACOB
600 NORTH WOLFE STREET
BALTIMORE, MD 21287-2109
Phone number: 410-955-5000
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Mailing Address
-- FADI PAUL JACOB
733 RUTLAND AVENUE
BALTIMORE, MD 21205-2109
Phone number: 410-955-3080
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