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1063064475
KINGSLY FOMBUTU GABILA
LANDOVER, MD
NPI
1063064475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14542)
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
KINGSLY FOMBUTU GABILA
1512 BRIGHTSEAT RD APT 202
LANDOVER, MD 20785-3755
Phone number: 240-476-0847
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Mailing Address
KINGSLY FOMBUTU GABILA
1512 BRIGHTSEAT RD APT 202
LANDOVER, MD 20785-3755
Phone number: 240-476-0847
Copy
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