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1912568148
KELSEY S IVUSICH
BALTIMORE, MD
NPI
1912568148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R186021)
Enumeration Date
2019-06-27
Last Update Date
2019-08-26
Business Address
KELSEY S IVUSICH AGACNP-BC
22 S GREENE ST
BALTIMORE, MD 21201-1590
Phone number: 410-328-8141
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Mailing Address
KELSEY S IVUSICH AGACNP-BC
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-328-8040
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