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1104062454
NICOL RENEE AWADALLA BACON
WASHINGTON, DC
NPI
1104062454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: DC MD046588)
Enumeration Date
2008-12-16
Last Update Date
2018-10-18
Business Address
NICOL RENEE AWADALLA BACON MD
111 MICHIGAN AVE NW
WASHINGTON, DC 20010-2916
Phone number: 202-476-5000
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Mailing Address
NICOL RENEE AWADALLA BACON MD
PO BOX 37215
BALTIMORE, MD 21297-3215
Phone number: 202-476-5000
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