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1033805650
WURAOLA SOFOWOTE
GERMANTOWN, MD
NPI
1033805650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R198543)
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
WURAOLA SOFOWOTE
19733 EXECUTIVE PARK CIR
GERMANTOWN, MD 20874-2642
Phone number: 443-929-1179
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Mailing Address
WURAOLA SOFOWOTE
4209 DRESSAGE CT
RANDALLSTOWN, MD 21133-5304
Phone number:
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