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Individual

MRS. MONA B GOBRAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9002 PHILLIP DORSEY WAY, COLUMBIA, MD 21045
(301) 437-0206
(410) 772-8496
Mailing address
9002 PHILLIP DORSEY WAY, COLUMBIA, MD 21045
(301) 437-0206
(410) 772-8496

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
LC1483
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10073835001
APS
MD
Enumeration date
08/31/2006
Last updated
07/08/2007
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