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1225392939
ANICET TIBA
MOUNT RAINIER, MD
NPI
1225392939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-06-27
Last Update Date
2012-06-27
Business Address
-- ANICET TIBA HHA
3305 CHAUNCEY PL APT 301
MOUNT RAINIER, MD 20712-1008
Phone number: 202-545-0935
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Mailing Address
-- ANICET TIBA HHA
3305 CHAUNCEY PL APT 301
MOUNT RAINIER, MD 20712-1008
Phone number: 202-545-0935
Copy
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