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1821705930
BOWIE PSYCHIATRIC PROFESSIONAL ASSOCIATE
BOWIE, MD
NPI
1821705930
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Entity Type
Organization
Authorized Contact
OLAOLU FADAIRO
CEO
301-648-9340
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
BOWIE PSYCHIATRIC PROFESSIONAL ASSOCIATE
1007 KINGS HEATHER DR
BOWIE, MD 20721-2010
Phone number: 301-648-9340
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Mailing Address
BOWIE PSYCHIATRIC PROFESSIONAL ASSOCIATE
1007 KINGS HEATHER DR
BOWIE, MD 20721-2010
Phone number: 301-648-9340
Copy
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