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1912538976
LATRESHIA SHANAE MAXIMO- BOWMAN
BALTIMORE, MD
NPI
1912538976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: MD 107609)
Enumeration Date
2020-01-29
Last Update Date
2020-01-29
Business Address
Mrs. LATRESHIA SHANAE MAXIMO- BOWMAN Barber
5441 BALTIMORE NATIONAL PIKE STE 2A
BALTIMORE, MD 21229-2102
Phone number: 553-527-3742
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Mailing Address
Mrs. LATRESHIA SHANAE MAXIMO- BOWMAN Barber
5441 BALTIMORE NATIONAL PIKE STE 2A
BALTIMORE, MD 21229-2102
Phone number: 553-527-3742
Copy
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