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1184443848
DIVINE ANABAH FOBANG
LAUREL, MD
NPI
1184443848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
Mr. DIVINE ANABAH FOBANG
9565 SYLVAN STILL RD APT.B
LAUREL, MD 20723-1540
Phone number: 202-689-9043
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Mailing Address
Mr. DIVINE ANABAH FOBANG
9565 SYLVAN STILL RD APT.B
LAUREL, MD 20723-1540
Phone number: 202-689-9043
Copy
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