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1003381120
AGNES RIDGELL
LEONARDTOWN, MD
NPI
1003381120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
AGNES RIDGELL
21585 PEABODY ST
LEONARDTOWN, MD 20650-2955
Phone number: 301-475-8000
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Mailing Address
AGNES RIDGELL
39608 LADY BALTIMORE AVE
LEONARDTOWN, MD 20650-2534
Phone number: 301-672-2579
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