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1144801838
GIRARD BOULWARE
CLINTON, MD
NPI
1144801838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
GIRARD BOULWARE
10200 WHITE AVE
CLINTON, MD 20735-3753
Phone number: 202-486-1643
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Mailing Address
GIRARD BOULWARE
10200 WHITE AVE
CLINTON, MD 20735-3753
Phone number: 202-486-1643
Copy
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