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1740840859
DIANA DESIERTO
BALTIMORE, MD
NPI
1740840859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 05781)
Enumeration Date
2019-06-20
Last Update Date
2020-01-09
Business Address
DIANA DESIERTO
200 E NORTH AVE
BALTIMORE, MD 21202-4888
Phone number: 443-642-4196
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Mailing Address
DIANA DESIERTO
3121 CHESTNUT AVE
BALTIMORE, MD 21211-2716
Phone number:
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