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1912020074
JOANN JOHNSON STAKEM
GLEN BURNIE, MD
NPI
1912020074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC1500X Registered Nurse Community Health
(Licence: MD R039432)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
JOANN JOHNSON STAKEM R.N.
791 AQUAHART RD STE 200
GLEN BURNIE, MD 21061-3950
Phone number: 410-222-6625
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Mailing Address
JOANN JOHNSON STAKEM R.N.
7847 CREEK SHORE WAY
BALTIMORE, MD 21226-2149
Phone number: 410-437-2276
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