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1821008491
NIA LEAK
COLUMBIA, MD
NPI
1821008491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MD D73027)
Enumeration Date
2006-08-08
Last Update Date
2016-12-01
Business Address
-- NIA LEAK MD
6350 STEVENS FOREST RD
COLUMBIA, MD 21046-3231
Phone number: 443-259-3770
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Mailing Address
-- NIA LEAK MD
3100 WYMAN PARK DR
BALTIMORE, MD 21211-2803
Phone number:
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