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1164132338
CLINTON EGO
COLLEGE PARK, MD
NPI
1164132338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X
Enumeration Date
2022-11-29
Last Update Date
2023-07-21
Business Address
CLINTON EGO
6200 WESTCHESTER PARK DR APT 520
COLLEGE PARK, MD 20740-2837
Phone number: 240-714-0295
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Mailing Address
CLINTON EGO
6200 WESTCHESTER PARK DR APT 520
COLLEGE PARK, MD 20740-2837
Phone number:
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