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1255970380
JULIENNE EBONGUE
SILVER SPRING, MD
NPI
1255970380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R205045)
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
JULIENNE EBONGUE
10313 GEORGIA AVE STE 307
SILVER SPRING, MD 20902-5006
Phone number: 301-754-2222
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Mailing Address
JULIENNE EBONGUE
3010 MARSH CROSSING DR
LAUREL, MD 20724-2972
Phone number: 240-604-2878
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