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1245879980
SEAN R MATTINGLY
FREDERICK, MD
NPI
1245879980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R215838)
Enumeration Date
2019-12-28
Last Update Date
2021-01-13
Business Address
Mr. SEAN R MATTINGLY FNP
501 W 7TH ST
FREDERICK, MD 21701-4586
Phone number: 301-698-8375
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Mailing Address
Mr. SEAN R MATTINGLY FNP
501 W 7TH ST
FREDERICK, MD 21701-4586
Phone number: 301-698-8375
Copy
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