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1801956149
LEIGH EBONY BOULWARE
BALTIMORE, MD
NPI
1801956149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D53573)
Enumeration Date
2006-12-09
Last Update Date
2007-07-08
Business Address
-- LEIGH EBONY BOULWARE M.D.
2024 E MONUMENT ST SUITE 2-601
BALTIMORE, MD 21205-2217
Phone number: 443-287-4388
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Mailing Address
-- LEIGH EBONY BOULWARE M.D.
PO BOX 64264
BALTIMORE, MD 21264-4264
Phone number:
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