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1164416756
WANDA LAFAYE GHANT-MOONEY
MILLERSVILLE, MD
NPI
1164416756
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Former Name
WANDA LAFAYE GHANT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R124816)
Enumeration Date
2005-09-09
Last Update Date
2018-09-05
Business Address
WANDA LAFAYE GHANT-MOONEY MSN
8124 VETERANS HWY
MILLERSVILLE, MD 21108
Phone number: 866-389-2727
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Mailing Address
WANDA LAFAYE GHANT-MOONEY MSN
8124 VETERANS HWY
MILLERSVILLE, MD 21108-1412
Phone number: 866-389-2727
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