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1255910063
MADELIENE ELAINE, LLC
CHEVY CHASE, MD
NPI
1255910063
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Entity Type
Organization
Authorized Contact
MADELIENE GAINERS
Owner
412-638-8585
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2021-04-07
Last Update Date
2021-04-07
Business Address
MADELIENE ELAINE, LLC
5530 WISCONSIN AVE STE 612
CHEVY CHASE, MD 20815-4430
Phone number: 412-638-8585
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Mailing Address
MADELIENE ELAINE, LLC
10536 JOYCETON DR
LARGO, MD 20774-1332
Phone number: 412-638-8585
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