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1104052364
BOPHANY CHEA
FREDERICK, MD
NPI
1104052364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: MD D72552)
Enumeration Date
2009-06-02
Last Update Date
2011-12-08
Business Address
BOPHANY CHEA MD
87 THOMAS JOHNSON DR STE 101
FREDERICK, MD 21702-4427
Phone number: 301-694-0606
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Mailing Address
BOPHANY CHEA MD
87 THOMAS JOHNSON DR STE 101
FREDERICK, MD 21702-4427
Phone number: 301-694-0606
Copy
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