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1902530702
MATTDIVINE HEALTHCARE AND WELLNESS SERVICES LLC
LAUREL, MD
NPI
1902530702
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Entity Type
Organization
Authorized Contact
OGOCHUKWU ENYI
CEO
240-501-0232
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
MATTDIVINE HEALTHCARE AND WELLNESS SERVICES LLC
8506 SNOWDEN LOOP
LAUREL, MD 20708-2360
Phone number: 240-501-0232
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Mailing Address
MATTDIVINE HEALTHCARE AND WELLNESS SERVICES LLC
8506 SNOWDEN LOOP
LAUREL, MD 20708-2360
Phone number: 240-501-0232
Copy
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