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1164060943
PETER OLUSOLA IGE
BALTIMORE, MD
NPI
1164060943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R142898)
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
PETER OLUSOLA IGE
5411 OLD FREDERICK RD
BALTIMORE, MD 21229-2195
Phone number: 410-762-8945
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Mailing Address
PETER OLUSOLA IGE
12 ROZINA CT
OWINGS MILLS, MD 21117-1318
Phone number: 410-446-1294
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