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1184317208
MERVYN FOMBE-ABIKO
LANHAM, MD
NPI
1184317208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X Community/Behavioral Health
Enumeration Date
2023-06-02
Last Update Date
2023-07-22
Business Address
MERVYN FOMBE-ABIKO
9729 GOOD LUCK RD APT 3
LANHAM, MD 20706-3314
Phone number: 571-474-9506
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Mailing Address
MERVYN FOMBE-ABIKO
9729 GOOD LUCK RD APT 3
LANHAM, MD 20706-3314
Phone number: 571-474-9506
Copy
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