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1700944501
REGINA MARIE MARTIN
RANDALLSTOWN, MD
NPI
1700944501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0003356)
Enumeration Date
2006-12-05
Last Update Date
2009-09-03
Business Address
-- REGINA MARIE MARTIN PA C
5401 OLD COURT RD
RANDALLSTOWN, MD 21133-5103
Phone number: 410-521-2200
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Mailing Address
-- REGINA MARIE MARTIN PA C
4231 NORTHWOODS TRAIL
HAMPSTEAD, MD 21074
Phone number: 410-374-9391
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