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1184275257
YOHANNES DETAMO LAILAGO
WASHINGTON, DC
NPI
1184275257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14036)
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
YOHANNES DETAMO LAILAGO
820 UPSHUR ST NW
WASHINGTON, DC 20011-5837
Phone number: 202-723-0403
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Mailing Address
YOHANNES DETAMO LAILAGO
2423 LYTTONSVILLE RD APT 301
SILVER SPRING, MD 20910-1929
Phone number: 301-938-7434
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