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1811206352
JAMES THORTON HAYDOCK
BALTIMORE, MD
NPI
1811206352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: MD a00645)
Enumeration Date
2010-10-01
Last Update Date
2010-10-01
Business Address
-- JAMES THORTON HAYDOCK COTA
1217 W FAYETTE ST
BALTIMORE, MD 21223-1938
Phone number: 410-987-3342
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Mailing Address
-- JAMES THORTON HAYDOCK COTA
351 BROADVIEW LN
ANNAPOLIS, MD 21401-7238
Phone number: 443-797-3933
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