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1285200089
NELSON FOKOBO MUTAH
ADELPHI, MD
NPI
1285200089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: MD A00194735)
Enumeration Date
2021-06-02
Last Update Date
2021-06-02
Business Address
NELSON FOKOBO MUTAH
1836 METZEROTT RD
ADELPHI, MD 20783-3475
Phone number: 929-366-6292
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Mailing Address
NELSON FOKOBO MUTAH
1836 METZEROTT RD
ADELPHI, MD 20783-3475
Phone number:
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