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Individual

MRS. KYOKO SATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
600 N WOLFE ST, BLALOCK 618, BALTIMORE, MD 21287-0005
(410) 502-0723
(410) 502-0723
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 502-0723
(410) 502-0723

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
43 430297
NY
363LA2100X
Acute Care Nurse Practitioner
R145292
MD
363LF0000X
Family Nurse Practitioner
33 334867
NY
363LF0000X
Family Nurse Practitioner
R145292
MD

Other

Enumeration date
03/03/2007
Last updated
09/03/2015
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