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1265797609
JACK S DJIKIAGE
BURTONSVILLE, MD
NPI
1265797609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-07-11
Last Update Date
2012-07-11
Business Address
-- JACK S DJIKIAGE
3611 AUTUMN GLEN CIRCLE
BURTONSVILLE, MD 20866
Phone number: 240-645-5101
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Mailing Address
-- JACK S DJIKIAGE
3611 AUTUMN GLEN CIRCLE
BURTONSVILLE, MD 20866
Phone number: 240-645-5101
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