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1205558855
KWABENA A BOATENG
WOODBRIDGE, VA
NPI
1205558855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
KWABENA A BOATENG BS,MS
2569 MIRANDA CT
WOODBRIDGE, VA 22191-5145
Phone number: 804-898-5981
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Mailing Address
KWABENA A BOATENG BS,MS
2569 MIRANDA CT
WOODBRIDGE, VA 22191-5145
Phone number: 804-898-5981
Copy
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