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1205300274
LINE SANDRA SANDRA TANONKO MAFEUGONG
WASHINGTON, DC
NPI
1205300274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
(Licence: MD T-552-522-014-901)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
LINE SANDRA SANDRA TANONKO MAFEUGONG
1010 VERMONT AVE NW STE 1003
WASHINGTON, DC 20005-4927
Phone number: 844-381-4432
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Mailing Address
LINE SANDRA SANDRA TANONKO MAFEUGONG
1804 FOX ST APT 202
ADELPHI, MD 20783-2348
Phone number: 864-395-7062
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