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1952602963
FACHECIA LAVERNE FORT
BALTIMORE, MD
NPI
1952602963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R193529)
Enumeration Date
2010-11-08
Last Update Date
2021-04-16
Business Address
-- FACHECIA LAVERNE FORT N.P.
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218-2108
Phone number: 410-605-7000
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Mailing Address
-- FACHECIA LAVERNE FORT N.P.
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218-2108
Phone number: 410-605-7000
Copy
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