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1225758345
MIREILLE CLAIRE FONGANG
TAKOMA PARK, MD
NPI
1225758345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: MD CNA20222061)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
MIREILLE CLAIRE FONGANG
7401 NEW HAMPSHIRE AVE
TAKOMA PARK, MD 20912-6945
Phone number: 240-551-8220
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Mailing Address
MIREILLE CLAIRE FONGANG
7401 NEW HAMPSHIRE AVE
TAKOMA PARK, MD 20912-6945
Phone number: 240-551-8220
Copy
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