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1316336977
MISPA AFOR FONGYEN
GREENBELT, MD
NPI
1316336977
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Former Name
MISPA OMOJUWA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA11010)
Enumeration Date
2015-01-20
Last Update Date
2024-02-13
Business Address
MISPA AFOR FONGYEN
8012 CRADDOCK RD
GREENBELT, MD 20770-3050
Phone number: 240-854-0908
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Mailing Address
MISPA AFOR FONGYEN
3801 KENILWORTH AVE APT 409W
BLADENSBURG, MD 20710-2138
Phone number: 301-458-9152
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