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Individual

BRIGTHAIN KARGONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
546 N FREDERICK AVE, GAITHERSBURG, MD 20877-2504
(301) 948-3250
Mailing address
11410 DECEMBER WAY APT 202, SILVER SPRING, MD 20904-3625

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23583
MD

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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