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1730111055
CAROL SMITH
BALTIMORE, MD
NPI
1730111055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R123104)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
-- CAROL SMITH C.P.N.P.
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 410-550-0967
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Mailing Address
-- CAROL SMITH C.P.N.P.
PO BOX 64316
BALTIMORE, MD 21264-4316
Phone number:
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