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1568980597
DIANNA N KENNER-STAVES
BOWIE, MD
NPI
1568980597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MD 24632)
Enumeration Date
2017-08-30
Last Update Date
2022-07-21
Business Address
DIANNA N KENNER-STAVES PharmD
15501 ANNAPOLIS RD
BOWIE, MD 20715-3046
Phone number: 301-383-2945
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Mailing Address
DIANNA N KENNER-STAVES PharmD
HARRIS TEETER PHARMACY 324 15501 ANNAPOLIS RD
BOWIE, MD 20715
Phone number: 301-383-2945
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