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PERPETUAL U AZUBUIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10210 REISTERSTOWN RD, OWINGS MILLS, MD 21117-3606
(410) 902-6776
Mailing address
3601 N PROGRESS AVE, HARRISBURG, PA 17110-9100
(717) 678-7779

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008343
MD
363A00000X
Physician Assistant
MA063388
PA

Other

Enumeration date
04/05/2022
Last updated
05/08/2024
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