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1174341978
ANDERSON ROY DJEUTIO QUOIMON
BOWIE, MD
NPI
1174341978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2024-09-30
Last Update Date
2024-11-13
Business Address
ANDERSON ROY DJEUTIO QUOIMON
13117 CRUTCHFIELD AVE # MD
BOWIE, MD 20720-3212
Phone number: 240-644-3611
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Mailing Address
ANDERSON ROY DJEUTIO QUOIMON
702 15TH ST NE
WASHINGTON, DC 20002-4508
Phone number: 202-388-8500
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