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Individual

GRACE OGBANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2041 MARTIN LUTHER KING JR AVE SE STE 239, WASHINGTON, DC 20020-7034
(202) 547-8450
Mailing address
8830 WINANDS RD, RANDALLSTOWN, MD 21133-4053
(443) 248-7938

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/17/2022
Last updated
10/17/2022
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