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1124532221
BRICE KADJI FOGAN
LAUREL, MD
NPI
1124532221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2017-11-28
Last Update Date
2017-11-28
Business Address
Mr. BRICE KADJI FOGAN
8625 SAVANNAH RIVER RD
LAUREL, MD 20724-1956
Phone number: 202-882-9310
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Mailing Address
Mr. BRICE KADJI FOGAN
8625 SAVANNAH RIVER RD
LAUREL, MD 20724-1956
Phone number: 202-790-9588
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