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1972001683
KINGSLEY EZIHE NGAMEDURU
OWINGS MILLS, MD
NPI
1972001683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-77793-042)
Enumeration Date
2018-01-28
Last Update Date
2018-01-28
Business Address
KINGSLEY EZIHE NGAMEDURU FNP
4704 DARK STAR WAY
OWINGS MILLS, MD 21117-4743
Phone number: 410-493-1208
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Mailing Address
KINGSLEY EZIHE NGAMEDURU FNP
4704 DARK STAR WAY
OWINGS MILLS, MD 21117-4743
Phone number: 410-493-1208
Copy
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