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1376198697
MOMOH MAKIEU
LAUREL, MD
NPI
1376198697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R198342)
Enumeration Date
2019-08-04
Last Update Date
2019-08-04
Business Address
MOMOH MAKIEU
13994 BALTIMORE AVE STE 102
LAUREL, MD 20707-5087
Phone number: 301-477-2128
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Mailing Address
MOMOH MAKIEU
9423 HORIZON RUN RD
GAITHERSBURG, MD 20886-0493
Phone number: 240-688-3761
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