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Individual

AGNES MWAKINGWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4940 EASTERN AVENUE, BALTIMORE, MD 21224-2780
(410) 550-0526
Mailing address
2 FLANDERS CT, APT K, NOTTINGHAM, MD 21236-5151
(917) 748-2589

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/15/2010
Last updated
10/10/2012
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