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1730454430
JEANINE PATCHAN SUPERATA
BETHESDA, MD
NPI
1730454430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD AC000291)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
Ms. JEANINE PATCHAN SUPERATA CRFNP
10 CENTER DR BUILDING 10 (CRC), ROOM 3-5330
BETHESDA, MD 20892-0001
Phone number: 301-451-7128
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Mailing Address
Ms. JEANINE PATCHAN SUPERATA CRFNP
10 CENTER DR BUILDING 10 (CRC), ROOM 3-5330
BETHESDA, MD 20892-0001
Phone number: 301-451-7128
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