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1841982071
KAYLEIGH PROUD
BALTIMORE, MD
NPI
1841982071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C08965)
Enumeration Date
2023-05-25
Last Update Date
2023-08-16
Business Address
KAYLEIGH PROUD PA
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 410-550-0100
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Mailing Address
KAYLEIGH PROUD PA
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 412-443-6842
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