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1336521848
DEAN ALEXIS
CLINTON, MD
NPI
1336521848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: MD 0700)
Enumeration Date
2015-06-19
Last Update Date
2015-06-19
Business Address
-- DEAN ALEXIS
7520 SURRATTS RD
CLINTON, MD 20735-3353
Phone number: 301-238-5742
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Mailing Address
-- DEAN ALEXIS
3169 CHESTER GROVE RD UPPER MARLBORO
UPPER MARLBORO, MD 20774-2483
Phone number:
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