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1780984526
KRYSTAL LEE CARLSON
BALTIMORE, MD
NPI
1780984526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119004077)
Enumeration Date
2010-10-27
Last Update Date
2014-04-02
Business Address
-- KRYSTAL LEE CARLSON OTR/L
719 S MACON ST
BALTIMORE, MD 21224-4433
Phone number: 540-589-7979
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Mailing Address
-- KRYSTAL LEE CARLSON OTR/L
719 S MACON ST
BALTIMORE, MD 21224-4433
Phone number: 540-589-7979
Copy
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