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1417413253
DEMITRI KORNEGAY
BOWIE, MD
NPI
1417413253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD 9050)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
DEMITRI KORNEGAY
12805 VICAR WOODS LN
BOWIE, MD 20720-4770
Phone number: 240-876-3828
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Mailing Address
DEMITRI KORNEGAY
12805 VICAR WOODS LN
BOWIE, MD 20720-4770
Phone number: 240-876-3828
Copy
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