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1962559500
BAMOYO NKONGOLO
BALTIMORE, MD
NPI
1962559500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0003263)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
-- BAMOYO NKONGOLO P.A.-C.
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 410-550-0100
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Mailing Address
-- BAMOYO NKONGOLO P.A.-C.
3309 W ROGERS AVE
BALTIMORE, MD 21215-4738
Phone number: 410-367-1939
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