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1043536790
AGNES JENNIFER KALLON
GREENBELT, MD
NPI
1043536790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R123473)
Enumeration Date
2010-04-20
Last Update Date
2011-10-14
Business Address
Ms. AGNES JENNIFER KALLON CRNP
7300 HANOVER DR SUITE 301
GREENBELT, MD 20770-2202
Phone number: 301-345-1800
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Mailing Address
Ms. AGNES JENNIFER KALLON CRNP
9607 OXBRIDGE WAY
BOWIE, MD 20721-3035
Phone number: 240-691-9840
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