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1467494369
CAROL DECLUE RILEY
LUTHERVILLE, MD
NPI
1467494369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R095449)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
-- CAROL DECLUE RILEY C.R.N.P.
10755 FALLS RD
LUTHERVILLE, MD 21093-4515
Phone number: 410-583-2970
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Mailing Address
-- CAROL DECLUE RILEY C.R.N.P.
PO BOX 64474
BALTIMORE, MD 21264-4474
Phone number: 410-933-7400
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