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Organization

IMP FAMILY MEDICAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATOYA LEE APRN (CEO)
(702) 265-9788
Entity
Organization

Contact information

Practice address
10451 MILL RUN CIR STE 400, OWINGS MILLS, MD 21117-5594
(702) 265-9788
Mailing address
10451 MILL RUN CIR STE 400, OWINGS MILLS, MD 21117-5594
(702) 265-9788

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/22/2021
Last updated
02/28/2022
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