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1164064705
GHISLAINE KENMEGNE DATOUO MOGO
WASHINGTON, DC
NPI
1164064705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: DC RN1028252)
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
GHISLAINE KENMEGNE DATOUO MOGO
4130 HUNT PL NE
WASHINGTON, DC 20019-3565
Phone number: 202-679-0620
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Mailing Address
GHISLAINE KENMEGNE DATOUO MOGO
9580 MUIRKIRK RD APT 101
LAUREL, MD 20708-2717
Phone number: 240-705-1096
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