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1972776995
DEREK E SPENCER
BALTIMORE, MD
NPI
1972776995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R108156)
Enumeration Date
2008-04-10
Last Update Date
2009-07-16
Business Address
-- DEREK E SPENCER CRNP
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-706-1661
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Mailing Address
-- DEREK E SPENCER CRNP
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-328-5793
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