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Organization
MAGNOLIA URGENT AND PRIMARY CARE, LLC
Active
Organization
MAGNOLIA URGENT AND PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAITH RODEHEAVER CRNP (OWNER)
(301) 616-3427
Entity
Organization
Contact information
Practice address
121 EAST FIRST AVENUE, LOCH LYNN, MD 21550
(301) 616-3427
Mailing address
3506 GARRETT HWY, OAKLAND, MD 21550-2327
(301) 616-3427
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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