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1710582069
R L BLISSFUL MEDICAL CLINIC, LLC
LAUREL, MD
NPI
1710582069
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Entity Type
Organization
Authorized Contact
MARIA TANCHO
Owner
240-899-9513
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
R L BLISSFUL MEDICAL CLINIC, LLC
13715 OAKLANDS MANOR DR
LAUREL, MD 20708-1430
Phone number: 240-899-9513
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Mailing Address
R L BLISSFUL MEDICAL CLINIC, LLC
13715 OAKLANDS MANOR DR
LAUREL, MD 20708-1430
Phone number: 240-899-9513
Copy
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