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1811529787
CONRAD JOSHUA SHAKES
BALTIMORE, MD
NPI
1811529787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R215432)
Enumeration Date
2020-02-10
Last Update Date
2022-01-26
Business Address
CONRAD JOSHUA SHAKES
323 N CALVERT ST
BALTIMORE, MD 21202-3611
Phone number: 410-332-9773
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Mailing Address
CONRAD JOSHUA SHAKES
323 N CALVERT ST
BALTIMORE, MD 21202-3611
Phone number: 410-332-9773
Copy
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