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1619438272
PHYLLIS KORANTENG
BOWIE, MD
NPI
1619438272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MD R158708)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
PHYLLIS KORANTENG
1707 FRASER FIR CT
BOWIE, MD 20721-3703
Phone number: 301-613-3941
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Mailing Address
PHYLLIS KORANTENG
1707 FRASER FIR CT
BOWIE, MD 20721-3703
Phone number: 301-613-3941
Copy
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