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Individual

MR. TOM DENNIS GATES II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP-PMH

Contact information

Practice address
1300 MERCANTILE LN STE 198, LARGO, MD 20774-5339
(301) 955-9812
(301) 955-9813
Mailing address
1300 MERCANTILE LN STE 198, LARGO, MD 20774-5339
(301) 955-9812
(301) 955-9813

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R207808
MD

Other

Enumeration date
08/27/2013
Last updated
09/27/2025
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