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1952698060
KAREN FONGHEISER
PARKVILLE, MD
NPI
1952698060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MD R143077)
Enumeration Date
2011-07-09
Last Update Date
2011-07-09
Business Address
-- KAREN FONGHEISER CRNP
2311 WEATHERVANE RD
PARKVILLE, MD 21234-2656
Phone number: 410-529-2797
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Mailing Address
-- KAREN FONGHEISER CRNP
3001 S HANOVER ST
BALTIMORE, MD 21225-1233
Phone number: 410-350-3601
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