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1023384963
SERGEY L ISTOMIN
BETHESDA, MD
NPI
1023384963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R208690)
Enumeration Date
2012-03-26
Last Update Date
2013-12-03
Business Address
Mr. SERGEY L ISTOMIN CRNP, PMHNP-BC
6040 SOUTHPORT DR
BETHESDA, MD 20814-1848
Phone number: 301-493-4200
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Mailing Address
Mr. SERGEY L ISTOMIN CRNP, PMHNP-BC
6040 SOUTHPORT DR
BETHESDA, MD 20814-1848
Phone number: 301-493-4200
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