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1992290951
DAISUKE MATSUO
BALTIMORE, MD
NPI
1992290951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R191414)
Enumeration Date
2018-06-22
Last Update Date
2018-06-22
Business Address
Mr. DAISUKE MATSUO
5809 WOODCREST AVE
BALTIMORE, MD 21215-4031
Phone number: 443-794-7846
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Mailing Address
Mr. DAISUKE MATSUO
5809 WOODCREST AVE
BALTIMORE, MD 21215-4031
Phone number: 144-379-4784
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