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1114649480
THEODORA MUKUM
WASHINGTON, DC
NPI
1114649480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA200001231)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
THEODORA MUKUM
2512 24TH ST NE
WASHINGTON, DC 20018-2126
Phone number: 202-832-8340
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Mailing Address
THEODORA MUKUM
11009 BENNINGTON DR
UPPER MARLBORO, MD 20774-1410
Phone number: 240-467-8401
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