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1902581978
GRACE HEALTHCARE SERVICES INC
FREDERICK, MD
NPI
1902581978
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Entity Type
Organization
Authorized Contact
SIPHRA NGUM MUKORO
Np
301-675-3515
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-06-19
Last Update Date
2023-06-20
Business Address
GRACE HEALTHCARE SERVICES INC
5100 BUCKEYSTOWN PIKE STE 250
FREDERICK, MD 21704-8344
Phone number: 301-576-3515
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Mailing Address
GRACE HEALTHCARE SERVICES INC
5100 BUCKEYSTOWN PIKE STE 250
FREDERICK, MD 21704-8344
Phone number: 301-576-3515
Copy
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