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Individual

EDEM DOGBOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1628 GOOD HOPE RD SE, WASHINGTON, DC 20020-4706
(202) 866-7505
Mailing address
4055 OLD COLUMBIA PIKE, ELLICOTT CITY, MD 21043-5412

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1014616
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP1014616
DC

Other

Enumeration date
02/03/2023
Last updated
08/17/2023
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