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1972905255
MIRNA DIZELOS
SILVER SPRING, MD
NPI
1972905255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MD 14381)
Enumeration Date
2014-09-18
Last Update Date
2014-09-18
Business Address
-- MIRNA DIZELOS
1301 LAMBERTON DR
SILVER SPRING, MD 20902-3415
Phone number: 301-649-3500
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Mailing Address
-- MIRNA DIZELOS
13420 DOWLAIS DR
ROCKVILLE, MD 20853-2948
Phone number:
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