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1063092815
CRISPUS FONGOH
WASHINGTON, DC
NPI
1063092815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2021-04-14
Last Update Date
2023-07-21
Business Address
CRISPUS FONGOH
2501 GOOD HOPE RD SE
WASHINGTON, DC 20020-3011
Phone number: 240-825-8561
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Mailing Address
CRISPUS FONGOH
4604 DICKENS PRIDE CT
BOWIE, MD 20720-5621
Phone number: 240-825-8561
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