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1326497421
PRIMARY CARE AT HOME OF MARYLAND, LLC
BALTIMORE, MD
NPI
1326497421
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Entity Type
Organization
Authorized Contact
DONALD D. STELLY
President
337-233-1307
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2016-06-09
Last Update Date
2016-06-09
Business Address
PRIMARY CARE AT HOME OF MARYLAND, LLC
4701 MOUNT HOPE DR SUITE A
BALTIMORE, MD 21215-3246
Phone number: 337-233-1307
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Mailing Address
PRIMARY CARE AT HOME OF MARYLAND, LLC
PO BOX 51266
LAFAYETTE, LA 70505-1266
Phone number: 337-233-1307
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