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1689286197
KELLY AMIKE NGENGE
FREDERICK, MD
NPI
1689286197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R226054)
Enumeration Date
2020-08-18
Last Update Date
2020-09-22
Business Address
KELLY AMIKE NGENGE NP
107 BIERSTADT CT
FREDERICK, MD 21702-6442
Phone number: 512-788-8867
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Mailing Address
KELLY AMIKE NGENGE NP
107 BIERSTADT CT
FREDERICK, MD 21702-6442
Phone number: 512-788-8867
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