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1275927451
GADISSA DESTA
WASHINGTON, DC
NPI
1275927451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA11052)
Enumeration Date
2015-03-25
Last Update Date
2015-03-25
Business Address
-- GADISSA DESTA
820 UPSHUR ST NW
WASHINGTON, DC 20011-5837
Phone number: 202-723-0304
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Mailing Address
-- GADISSA DESTA
820 UPSHUR ST NW
WASHINGTON, DC 20011-5837
Phone number: 202-723-0304
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