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1700351442
SUZIE FATOU JACKATEY
LAUREL, MD
NPI
1700351442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.017987)
Enumeration Date
2018-10-09
Last Update Date
2023-07-09
Business Address
Ms. SUZIE FATOU JACKATEY NP
14502 GREENVIEW DR STE 500
LAUREL, MD 20708-4245
Phone number: 857-999-6122
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Mailing Address
Ms. SUZIE FATOU JACKATEY NP
1003 KINGS TREE DR
BOWIE, MD 20721-1918
Phone number: 857-999-6122
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