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1902303290
SUSAN LEE MCKENNA
SILVER SPRING, MD
NPI
1902303290
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Former Name
SUSAN LEE LEAVITT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
Mrs. SUSAN LEE MCKENNA
2730 UNIVERSITY BLVD W
SILVER SPRING, MD 20902-1905
Phone number: 301-933-6680
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Mailing Address
Mrs. SUSAN LEE MCKENNA
1900 LYTTONSVILLE RD APT 409
SILVER SPRING, MD 20910-2236
Phone number:
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