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1831490135
LUIS R. P. DA CONCEICAO
UPPER MARLBORO, MD
NPI
1831490135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD PA78442)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2010-11-03
Last Update Date
2024-07-26
Business Address
Mr. LUIS R. P. DA CONCEICAO PAC
901 HARRY S TRUMAN DR N
UPPER MARLBORO, MD 20774-5477
Phone number: 240-677-3000
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Mailing Address
Mr. LUIS R. P. DA CONCEICAO PAC
6461 230TH ST
OAKLAND GARDENS, NY 11364-2713
Phone number: 516-901-5446
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