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1841911500
IDAAT BISOLA TIMBO-JALLOH
GLEN BURNIE, MD
NPI
1841911500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R209309)
Enumeration Date
2022-09-09
Last Update Date
2024-10-15
Business Address
IDAAT BISOLA TIMBO-JALLOH
7310 RITCHIE HWY STE 200
GLEN BURNIE, MD 21061-3065
Phone number: 410-446-7479
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Mailing Address
IDAAT BISOLA TIMBO-JALLOH
8285 W B AND A RD
SEVERN, MD 21144-2704
Phone number: 410-446-7479
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