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1225705346
UGONMA IMO
BALTIMORE, MD
NPI
1225705346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R225968)
Enumeration Date
2021-08-26
Last Update Date
2022-04-15
Business Address
UGONMA IMO
6501 N CHARLES ST
BALTIMORE, MD 21204-6819
Phone number: 410-938-3000
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Mailing Address
UGONMA IMO
3803 CASSANDRA RD
RANDALLSTOWN, MD 21133-3313
Phone number: 443-823-7659
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