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1245808732
GWENDOLYN LATTIE
HAGERSTOWN, MD
NPI
1245808732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R152199)
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
Mrs. GWENDOLYN LATTIE
1165 IMPERIAL DR STE 300
HAGERSTOWN, MD 21740-6556
Phone number: 301-665-9098
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Mailing Address
Mrs. GWENDOLYN LATTIE
1165 IMPERIAL DR STE 300
HAGERSTOWN, MD 21740-6556
Phone number: 301-665-9098
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