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1063559292
JANE PRISCILLA ROACH
CROFTON, MD
NPI
1063559292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: MD R066995)
Enumeration Date
2007-01-30
Last Update Date
2017-02-07
Business Address
JANE PRISCILLA ROACH CRNP
2191 DEFENSE HWY SUITE 201
CROFTON, MD 21114-2931
Phone number: 410-451-9091
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Mailing Address
JANE PRISCILLA ROACH CRNP
2191 DEFENSE HWY SUITE 201
CROFTON, MD 21114-2931
Phone number: 410-451-9091
Copy
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