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1750649554
DIVINE F. TICHA
WASHINGTON, DC
NPI
1750649554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R197963)
Enumeration Date
2012-04-30
Last Update Date
2021-12-23
Business Address
Mr. DIVINE F. TICHA
1818 NEW YORK AVE NE 117 GLOBAL HEALTHCARE
WASHINGTON, DC 20002
Phone number: 202-480-0813
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Mailing Address
Mr. DIVINE F. TICHA
13994 BALTIMORE AVENUE 13994 BALTIMORE AVENUE SUITE 102
LAUREL, MD 20707
Phone number: 240-491-2868
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