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1831811389
MALLORY DECESARE
BALTIMORE, MD
NPI
1831811389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C09151)
Enumeration Date
2022-09-12
Last Update Date
2025-01-22
Business Address
Mrs. MALLORY DECESARE PA-C
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-8100
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Mailing Address
Mrs. MALLORY DECESARE PA-C
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-4417
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