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1073124327
QUEEN K IJI
WALDORF, MD
NPI
1073124327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ 26NJ01025400)
Enumeration Date
2020-08-11
Last Update Date
2021-12-21
Business Address
QUEEN K IJI APN
3070 CRAIN HWY
WALDORF, MD 20601-2830
Phone number: 301-645-3556
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Mailing Address
QUEEN K IJI APN
105 GLEANING CT
LA PLATA, MD 20646-3218
Phone number: 609-456-9638
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