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1215540497
LEANNE ANDREA GENOTA ANTIOQUIA
BOWIE, MD
NPI
1215540497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R225017)
Enumeration Date
2020-08-26
Last Update Date
2021-01-18
Business Address
LEANNE ANDREA GENOTA ANTIOQUIA CRNP
14300 GALLANT FOX LN STE 110
BOWIE, MD 20715-4031
Phone number: 301-262-6797
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Mailing Address
LEANNE ANDREA GENOTA ANTIOQUIA CRNP
14300 GALLANT FOX LN STE 110
BOWIE, MD 20715-4031
Phone number: 301-262-6797
Copy
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