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1366702862
JACQUELINE LAVELLE PATEL
BALTIMORE, MD
NPI
1366702862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R118542)
Enumeration Date
2012-05-18
Last Update Date
2012-05-18
Business Address
-- JACQUELINE LAVELLE PATEL CRNP
8710 EMGE RD
BALTIMORE, MD 21234-3504
Phone number: 410-661-5955
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Mailing Address
-- JACQUELINE LAVELLE PATEL CRNP
6116 ADCOCK LN
HANOVER, MD 21076-1061
Phone number: 410-579-1619
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