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1124889431
DIVINE JIMLA
HYATTSVILLE, MD
NPI
1124889431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
DIVINE JIMLA CASE MANAGER
6428 LANDING WAY
HYATTSVILLE, MD 20784-4619
Phone number: 301-442-1801
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Mailing Address
DIVINE JIMLA CASE MANAGER
6428 LANDING WAY
HYATTSVILLE, MD 20784-4619
Phone number: 301-442-1801
Copy
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