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1508428103
CONSTANCE MARIA DEROSA
FREDERICK, MD
NPI
1508428103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R119937)
Enumeration Date
2019-07-03
Last Update Date
2020-10-27
Business Address
CONSTANCE MARIA DEROSA
1562 OPOSSUMTOWN PIKE
FREDERICK, MD 21702-4920
Phone number: 402-566-3031
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Mailing Address
CONSTANCE MARIA DEROSA
PO BOX 37086
BALTIMORE, MD 21297-3086
Phone number: 240-439-8812
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