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Individual

GUY B TCHAMOLOGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3800 LOTTSFORD VISTA RD, MITCHELLVILLE, MD 20721-4018
(301) 459-4700
Mailing address
309 HANNES ST, SILVER SPRING, MD 20901-1104
(301) 523-1953

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R215679
MD

Other

Enumeration date
07/09/2017
Last updated
07/09/2017
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