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1235609900
SYLVENOUS AZONGANKWETTEH ATEM
MOUNT RAINIER, MD
NPI
1235609900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14100)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
SYLVENOUS AZONGANKWETTEH ATEM
3101 QUEENS CHAPEL RD APT 202
MOUNT RAINIER, MD 20712-1150
Phone number: 703-963-0523
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Mailing Address
SYLVENOUS AZONGANKWETTEH ATEM
3101 QUEENS CHAPEL RD APT 202
MOUNT RAINIER, MD 20712-1150
Phone number: 703-963-0523
Copy
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