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1760562086
MICHELLE MARIA BENTKOWSKI
BALTIMORE, MD
NPI
1760562086
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Former Name
MICHELLE MARIE BURGESS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C01444)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- MICHELLE MARIA BENTKOWSKI PA
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 443-567-5030
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Mailing Address
-- MICHELLE MARIA BENTKOWSKI PA
PO BOX 64563
BALTIMORE, MD 21264-4563
Phone number:
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