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1285995381
THEOPHILE ELOMBO BANGUE
SILVER SPRING, MD
NPI
1285995381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-06-05
Last Update Date
2018-03-12
Business Address
THEOPHILE ELOMBO BANGUE
11200 LOCKWOOD DR APT 508
SILVER SPRING, MD 20901-4528
Phone number: 240-429-1587
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Mailing Address
THEOPHILE ELOMBO BANGUE
11200 LOCKWOOD DR APT 508
SILVER SPRING, MD 20901-4528
Phone number: 240-429-1587
Copy
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