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1881160091
THOMAS KEVIN PHELAN
LAUREL, MD
NPI
1881160091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
THOMAS KEVIN PHELAN
12112 MOUNT PLEASANT DR
LAUREL, MD 20708-2527
Phone number: 443-527-8165
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Mailing Address
THOMAS KEVIN PHELAN
12112 MOUNT PLEASANT DR
LAUREL, MD 20708-2527
Phone number:
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