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1902807100
DENOTTA SHAVONN TEAGLE
BALTIMORE, MD
NPI
1902807100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0001369)
Enumeration Date
2005-08-10
Last Update Date
2010-11-30
Business Address
DENOTTA SHAVONN TEAGLE PA-C
1501 DIVISION ST
BALTIMORE, MD 21217-3121
Phone number: 410-728-4176
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Mailing Address
DENOTTA SHAVONN TEAGLE PA-C
3106 LAUREL VIEW DR
ABINGDON, MD 21009-2626
Phone number: 410-515-7747
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