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1588688345
LISA CARROLL RADEBAUGH
LUTHERVILLE, MD
NPI
1588688345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R080294)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Ms. LISA CARROLL RADEBAUGH N.P.
10753 FALLS RD PAVILION II SUITE 415
LUTHERVILLE, MD 21093-2967
Phone number: 410-583-2970
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Mailing Address
Ms. LISA CARROLL RADEBAUGH N.P.
40 TUDOR CT
LUTHERVILLE, MD 21093-2967
Phone number: 410-308-4822
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