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1093496804
GREGORY A MICKLES
WASHINGTON, DC
NPI
1093496804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-07-26
Last Update Date
2023-10-06
Business Address
GREGORY A MICKLES
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032-2506
Phone number: 202-232-6100
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Mailing Address
GREGORY A MICKLES
2234 HUNTER PLACE SOUTHEAST
WASHINGTON, DC 20020
Phone number: 120-271-0283
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