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Teresa Deausen
NPI 1578164612 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1155 Annapolis Rd
Odenton, MD 21113 - Phone
- (410) 305-1291
- Organisation at this address
- Giant Of Maryland Llc
The Great Atlantic And Pacific Tea Company IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland