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1689340309
CLEOLYNNE PENERA CARREON
BALTIMORE, MD
NPI
1689340309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MD A02938)
Enumeration Date
2021-08-22
Last Update Date
2021-08-22
Business Address
CLEOLYNNE PENERA CARREON COTA/L
9200 FRANKLIN SQUARE DR
BALTIMORE, MD 21237-4458
Phone number: 410-931-8122
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Mailing Address
CLEOLYNNE PENERA CARREON COTA/L
5204 BRAEBURN WAY
PERRY HALL, MD 21128-8830
Phone number: 443-983-1495
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