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Individual

MR. JOHNSON GBENPLAY GAYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3908 BUSH CT, ABINGDON, MD 21009-1193
(610) 931-2442
Mailing address
3908 BUSH CT, ABINGDON, MD 21009-1193
(610) 931-2442

Taxonomy

Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
R07859
MD

Other

Enumeration date
04/12/2021
Last updated
04/12/2021
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