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1518283639
WANDA LEE FAZENBAKER
TOWSON, MD
NPI
1518283639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD a1272)
Enumeration Date
2010-04-14
Last Update Date
2010-04-14
Business Address
Ms. WANDA LEE FAZENBAKER PTA
7700 YORK RD
TOWSON, MD 21204-7513
Phone number: 410-821-5500
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Mailing Address
Ms. WANDA LEE FAZENBAKER PTA
7700 YORK RD
TOWSON, MD 21204-7513
Phone number: 410-821-5500
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