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1215040951
JIE KONG
COLUMBIA, MD
NPI
1215040951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R143501)
Enumeration Date
2006-08-16
Last Update Date
2017-01-26
Business Address
-- JIE KONG CRNP MSN
10802 HICKORY RIDGE RD
COLUMBIA, MD 21044-3622
Phone number: 410-997-1336
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Mailing Address
-- JIE KONG CRNP MSN
10802 HICKORY RIDGE RD
COLUMBIA, MD 21044-3622
Phone number: 410-997-1336
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