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1407059967
CARLA D. HINES
WALDORF, MD
NPI
1407059967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0002679)
Enumeration Date
2007-06-11
Last Update Date
2016-03-16
Business Address
CARLA D. HINES PA-C
12070 OLD LINE CENTER DRIVE SUITE 210
WALDORF, MD 20602
Phone number: 240-629-3952
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Mailing Address
CARLA D. HINES PA-C
PO BOX 2348
GERMANTOWN, MD 20875-2348
Phone number: 240-629-3912
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