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1932470283
IDAL ROSCIN TCHOUNDJO
FREDERICK, MD
NPI
1932470283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD 2010013258)
Enumeration Date
2012-01-18
Last Update Date
2021-05-07
Business Address
Mr. IDAL ROSCIN TCHOUNDJO MS,FNP CRNP
1050 KEY PKWY SUITE 201
FREDERICK, MD 21702-4053
Phone number: 301-846-2273
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Mailing Address
Mr. IDAL ROSCIN TCHOUNDJO MS,FNP CRNP
8402 LOCH RAVEN BLVD SUITE 201
TOWSON, MD 21286-8101
Phone number: 443-739-1994
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