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Organization

KUT TO THE CHASE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHASE LEVAR ISOM CERTIFIED HAIR LOSS (OWNER/SPECIALIST)
(443) 518-9075
Entity
Organization

Contact information

Practice address
608 EDMONDSON AVE STE 2, CATONSVILLE, MD 21228-3357
(443) 518-9075
Mailing address
PO BOX 21104, CATONSVILLE, MD 21228-0604
(443) 518-9075

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
101749
MD

Other

Enumeration date
01/05/2018
Last updated
01/05/2018
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