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1720553506
KAREN LISA WIRTH
WALDORF, MD
NPI
1720553506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R194273)
Enumeration Date
2018-10-09
Last Update Date
2019-04-22
Business Address
KAREN LISA WIRTH
3581 OLD WASHINGTON RD
WALDORF, MD 20602-3270
Phone number: 301-638-4400
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Mailing Address
KAREN LISA WIRTH
3581 OLD WASHINGTON RD
WALDORF, MD 20602-3270
Phone number: 301-638-4400
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