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1245014869
JENNIFER ANNE LISA
DUNDALK, MD
NPI
1245014869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R178139)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
JENNIFER ANNE LISA PMHNP-BC
1576 MERRITT BLVD STE 8
DUNDALK, MD 21222-2114
Phone number: 443-530-6921
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Mailing Address
JENNIFER ANNE LISA PMHNP-BC
1576 MERRITT BLVD STE 8
DUNDALK, MD 21222-2114
Phone number: 443-530-6921
Copy
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