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1154636785
KADIE BALLAH JALLOH
BOWIE, MD
NPI
1154636785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R128225)
Enumeration Date
2010-08-06
Last Update Date
2010-08-09
Business Address
Mrs. KADIE BALLAH JALLOH CRNP
13201 5TH ST
BOWIE, MD 20720-3609
Phone number: 301-809-0545
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Mailing Address
Mrs. KADIE BALLAH JALLOH CRNP
13201 5TH ST
BOWIE, MD 20720-3609
Phone number: 301-809-0545
Copy
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