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1912730201
TERESA RUSK MASTANTUONO
FREDERICK, MD
NPI
1912730201
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Former Name
TERESA RUSK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 03025L)
Enumeration Date
2024-08-22
Last Update Date
2024-09-06
Business Address
TERESA RUSK MASTANTUONO
1920 ROSEMONT AVE
FREDERICK, MD 21702-8249
Phone number: 240-772-9200
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Mailing Address
TERESA RUSK MASTANTUONO
2252 W GREENLEAF DR
FREDERICK, MD 21702-2625
Phone number: 240-440-2330
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