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1104492115
ENNOBLE HC DMV LLC
SILVER SPRING, MD
NPI
1104492115
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Entity Type
Organization
Authorized Contact
KUSH DAS
Manager
310-721-2971
Organization Subpart ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
Enumeration Date
2021-06-01
Last Update Date
2022-11-08
Business Address
ENNOBLE HC DMV LLC
962 WAYNE AVE STE 250
SILVER SPRING, MD 20910-4433
Phone number: 862-812-9010
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Mailing Address
ENNOBLE HC DMV LLC
39 V ST NE
WASHINGTON, DC 20002-1329
Phone number: 862-812-9010
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