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1093433641
JARLISA MICKEY
COLUMBIA, MD
NPI
1093433641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: AR 220528)
Enumeration Date
2022-08-19
Last Update Date
2024-08-26
Business Address
JARLISA MICKEY RN, A-GPCNP-C
10175 LITTLE PATUXENT PKWY
COLUMBIA, MD 21044-2655
Phone number: 501-553-1153
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Mailing Address
JARLISA MICKEY RN, A-GPCNP-C
10175 LITTLE PATUXENT PKWY
COLUMBIA, MD 21044-2655
Phone number:
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