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1366772964
JAKARTA A MABREY
ELKRIDGE, MD
NPI
1366772964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R130549)
Enumeration Date
2010-01-04
Last Update Date
2021-02-22
Business Address
JAKARTA A MABREY CRNP-Family
6095 MARSHALEE DR STE 100
ELKRIDGE, MD 21075-6053
Phone number: 443-838-8891
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Mailing Address
JAKARTA A MABREY CRNP-Family
1240 GITTINGS AVE
BALTIMORE, MD 21239-1720
Phone number: 443-838-8891
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