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1265991863
FNU ILLORSON ISOH HENRIE
LANDOVER, MD
NPI
1265991863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14326)
Enumeration Date
2019-03-14
Last Update Date
2019-03-14
Business Address
FNU ILLORSON ISOH HENRIE
3413 DODGE PARK RD APT 201
LANDOVER, MD 20785-2029
Phone number: 240-906-2660
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Mailing Address
FNU ILLORSON ISOH HENRIE
3413 DODGE PARK RD APT 201
LANDOVER, MD 20785-2029
Phone number: 240-906-2660
Copy
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