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1235655903
LAURA JANE KANNAIAN
FREDERICK, MD
NPI
1235655903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R195246)
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
LAURA JANE KANNAIAN FNP-BC
176 THOMAS JOHNSON DR STE 104
FREDERICK, MD 21702-4499
Phone number: 301-644-3305
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Mailing Address
LAURA JANE KANNAIAN FNP-BC
3937 ADDISON WOODS RD
FREDERICK, MD 21704-7903
Phone number:
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