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1881202570
JISHA S VARGHESE
ELLICOTT CITY, MD
NPI
1881202570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R160402)
Enumeration Date
2020-07-19
Last Update Date
2020-07-19
Business Address
JISHA S VARGHESE A-GNP-C
3257 RAMBLEWOOD RD
ELLICOTT CITY, MD 21042-2445
Phone number: 443-518-9907
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Mailing Address
JISHA S VARGHESE A-GNP-C
3257 RAMBLEWOOD RD
ELLICOTT CITY, MD 21042-2445
Phone number: 443-518-9907
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