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1801010947
LAURA BAZZELL PORTER
CENTREVILLE, MD
NPI
1801010947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MD a0143)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Mrs. LAURA BAZZELL PORTER cota
205 ARMSTRONG ST
CENTREVILLE, MD 21617-2125
Phone number: 410-758-2323
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Mailing Address
Mrs. LAURA BAZZELL PORTER cota
320 FAIRVIEW DR
CHESTERTOWN, MD 21620-2814
Phone number: 410-778-4214
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