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1053678532
KENNETH A FOMINYEN
TAKOMA PARK, MD
NPI
1053678532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-04-20
Last Update Date
2012-04-20
Business Address
-- KENNETH A FOMINYEN
7401 NEW HAMPSHIRE AVE APT# 814
TAKOMA PARK, MD 20912-6945
Phone number: 202-722-1725
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Mailing Address
-- KENNETH A FOMINYEN
7401 NEW HAMPSHIRE AVE APT# 814
TAKOMA PARK, MD 20912-6945
Phone number:
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