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Individual

ELEANOR MARY MICHALOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
119 S HAYS ST, BEL AIR, MD 21014-3644
(410) 638-8457
Mailing address
2803 PAGE CT, FALLSTON, MD 21047-2228
(410) 877-7563

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R029756
MD

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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