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1023791605
PREMIER MEDICAL GROUP OF MARYLAND LLC
COLUMBIA, MD
NPI
1023791605
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Entity Type
Organization
Authorized Contact
MARY FAKOREDE
Md
410-709-7432
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
PREMIER MEDICAL GROUP OF MARYLAND LLC
10705 CHARTER DR STE 420
COLUMBIA, MD 21044-2800
Phone number: 410-709-7432
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Mailing Address
PREMIER MEDICAL GROUP OF MARYLAND LLC
10705 CHARTER DR STE 420
COLUMBIA, MD 21044-2800
Phone number: 410-709-7432
Copy
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