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1093196990
MONICK FANBA
UPPER MARLBORO, MD
NPI
1093196990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MD C0005761)
Enumeration Date
2015-06-16
Last Update Date
2015-06-16
Business Address
-- MONICK FANBA
2502 MOORES PLAINS BLVD
UPPER MARLBORO, MD 20774-8027
Phone number: 240-510-5218
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Mailing Address
-- MONICK FANBA
2502 MOORES PLAINS BLVD
UPPER MARLBORO, MD 20774-8027
Phone number: 240-510-5218
Copy
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