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1366932287
MAMATA BLON
LA PLATA, MD
NPI
1366932287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C06809)
Enumeration Date
2018-05-16
Last Update Date
2020-09-18
Business Address
MAMATA BLON PA-C
5 GARRETT AVE
LA PLATA, MD 20646-5960
Phone number: 301-609-4000
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Mailing Address
MAMATA BLON PA-C
12070 OLD LINE CTR STE 303
WALDORF, MD 20602-3535
Phone number: 301-645-5100
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