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1215529805
JAE3 HEALTH AND WELLNESS LLC
BOWIE, MD
NPI
1215529805
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Entity Type
Organization
Authorized Contact
AGNES J KALLON
Medical Director
240-691-9840
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2021-02-05
Last Update Date
2021-02-05
Business Address
JAE3 HEALTH AND WELLNESS LLC
9607 OXBRIDGE WAY
BOWIE, MD 20721
Phone number: 240-691-9840
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Mailing Address
JAE3 HEALTH AND WELLNESS LLC
9607 OXBRIDGE WAY
BOWIE, MD 20721
Phone number: 240-691-9840
Copy
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