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1104588466
INDEPTH HEALTHCARE SERVICES LLC
LAUREL, MD
NPI
1104588466
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Entity Type
Organization
Authorized Contact
JACQUELINE ANNAN
Provider
240-308-2530
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
INDEPTH HEALTHCARE SERVICES LLC
9244 HOMESTRETCH CT
LAUREL, MD 20723-1875
Phone number: 240-308-2530
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Mailing Address
INDEPTH HEALTHCARE SERVICES LLC
9244 HOMESTRETCH CT
LAUREL, MD 20723-1875
Phone number: 240-308-2530
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