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Organization
KIMBROUGH AMBLATORY CARE CENTER
Active
Organization
KIMBROUGH AMBLATORY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER STACY-BONOT B.S.N. (NURSE)
(301) 677-8670
Entity
Organization
Contact information
Practice address
2480 LLEWELLYN AVE STE 5800, FORT GEORGE G MEADE, MD 20755-5129
(301) 677-8670
Mailing address
2480 LLEWELLYN AVE STE 5800, FORT GEORGE G MEADE, MD 20755-5129
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
R168995
MD
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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