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Individual

CHARLES OKOROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP-PMH

Contact information

Practice address
9605 TOUCAN DR, UPPER MARLBORO, MD 20772-4780
(443) 341-7368
Mailing address
9605 TOUCAN DR, UPPER MARLBORO, MD 20772-4780
(443) 341-7368

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R200643
MD

Other

Enumeration date
08/15/2019
Last updated
08/15/2019
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