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Individual

DEJAN JELOVAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10015 OLD COLUMBIA RD STE B215, COLUMBIA, MD 21046-1865
(410) 356-6161
Mailing address
7722 HEATHERS LN, BALTIMORE, MD 21236-3836
(410) 828-6797

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2875
MD

Other

Enumeration date
10/15/2008
Last updated
08/26/2009
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