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1063195170
GIDEON FONKWEN
ROCKVILLE, MD
NPI
1063195170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-08-08
Last Update Date
2024-07-03
Business Address
GIDEON FONKWEN
2000 TOWER OAKS BLVD
ROCKVILLE, MD 20852-4282
Phone number: 301-444-5001
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Mailing Address
GIDEON FONKWEN
2000 TOWER OAKS BLVD
ROCKVILLE, MD 20852-4282
Phone number: 301-444-5001
Copy
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