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Organization
DIVINE GRACE LIMITED LIABILITY COMPANY
Active
Organization
DIVINE GRACE LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BUKOLA ADEBAYO MD (MANAGING DIRECTOR)
(443) 608-7077
Entity
Organization
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(443) 608-7077
Mailing address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(443) 608-7077
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
06/06/2026
Last updated
06/10/2026
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