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1265958276
CLIFFORD WAKHA KIBANG
MOUNT RAINIER, MD
NPI
1265958276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA13011)
Enumeration Date
2017-08-21
Last Update Date
2022-07-21
Business Address
Mr. CLIFFORD WAKHA KIBANG HHA
3271 QUEENSTOWN DRIVE APT #201
MOUNT RAINIER, MD 20712
Phone number: 240-413-1428
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Mailing Address
Mr. CLIFFORD WAKHA KIBANG HHA
3271 QUEENSTOWN DR APT 201
MOUNT RAINIER, MD 20712-1082
Phone number: 240-413-1428
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