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Individual

MS. SUSAN MARIE ANTOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
655 W LOMBARD ST, SUITE 425B, BALTIMORE, MD 21201-1512
(410) 706-5145
(410) 706-0140
Mailing address
655 W LOMBARD ST, SUITE 425B, BALTIMORE, MD 21201-1512
(410) 706-5145
(410) 706-0140

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
R057831
MD
163WC1500X
Community Health Registered Nurse
Primary
R057831
MD

Other

Enumeration date
08/02/2010
Last updated
08/02/2010
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