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Individual

JULIE HASTINGS DESHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1700 REISTERSTOWN RD, SUITE 232, PIKESVILLE, MD 21208-1416
(410) 571-6411
(410) 571-6415
Mailing address
PO BOX 891, LAUREL, MD 20725-0891
(410) 571-6411
(410) 571-6415

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03068
MD

Other

Enumeration date
02/08/2008
Last updated
02/08/2008
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