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1528110137
CONSTANCE WANTLING
FREDERICK, MD
NPI
1528110137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R152452)
Enumeration Date
2007-01-17
Last Update Date
2016-08-02
Business Address
-- CONSTANCE WANTLING CRNP
56 THOMAS JOHNSON DR
FREDERICK, MD 21702-4599
Phone number: 301-694-3111
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Mailing Address
-- CONSTANCE WANTLING CRNP
610 SOLAREX COURT
FREDERICK, MD 21703
Phone number:
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