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Organization

DUANE SIBILLY

Active
Parent organization
DUANE SIBILLY
Organization subpart
Yes

Provider details

NPI number
Legal business name
DUANE SIBILLY
Authorized official
DUANE SIBILLY CSA (OWNER/OPERATOR)
(301) 474-0916
Entity
Organization

Contact information

Practice address
7744 MANDAN RD, GREENBELT, MD 20770-2166
(301) 474-0916
Mailing address
7744 MANDAN RD, GREENBELT, MD 20770-2166
(301) 474-0916

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
08/11/2014
Last updated
08/11/2014
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