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1174102610
BRENDA FOLEFAC FONJU
BALTIMORE, MD
NPI
1174102610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R228896)
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
BRENDA FOLEFAC FONJU
6501 N CHARLES ST
BALTIMORE, MD 21204-6819
Phone number: 410-938-3000
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Mailing Address
BRENDA FOLEFAC FONJU
14644 WEXHALL TER
BURTONSVILLE, MD 20866-1911
Phone number:
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