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1316401979
CORNELIUS FOMELACHFOSSUNG
WASHINGTON, DC
NPI
1316401979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14256)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
CORNELIUS FOMELACHFOSSUNG
4201 9TH ST NW
WASHINGTON, DC 20011-7217
Phone number: 202-247-1076
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Mailing Address
CORNELIUS FOMELACHFOSSUNG
4201 9TH ST NW
WASHINGTON, DC 20011-7217
Phone number: 202-247-1076
Copy
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