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1578028874
AILEEN LARDIS
ANNAPOLIS, MD
NPI
1578028874
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Former Name
AILEEN COLLETTE GILLIGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: MD R175578)
Enumeration Date
2019-01-31
Last Update Date
2019-05-21
Business Address
AILEEN LARDIS CRNP
2000 MEDICAL PKWY STE 304
ANNAPOLIS, MD 21401-3745
Phone number: 410-573-9530
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Mailing Address
AILEEN LARDIS CRNP
PO BOX 12622
BELFAST, ME 04915-4017
Phone number:
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