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1851047690
DERICK SONJONG
OWINGS MILLS, MD
NPI
1851047690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R204750)
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
DERICK SONJONG PMHNP-BC
4507 LYONS RUN CIR APT T3
OWINGS MILLS, MD 21117-6979
Phone number: 571-277-0779
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Mailing Address
DERICK SONJONG PMHNP-BC
4507 LYONS RUN CIR APT T3
OWINGS MILLS, MD 21117-6979
Phone number: 571-277-0779
Copy
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