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1336705060
PROSPER FOMUM CHICK
LANHAM, MD
NPI
1336705060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14418)
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
PROSPER FOMUM CHICK
9867 GOOD LUCK RD APT 12
LANHAM, MD 20706-3227
Phone number: 240-772-8701
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Mailing Address
PROSPER FOMUM CHICK
9867 GOOD LUCK RD APT 12
LANHAM, MD 20706-3227
Phone number: 240-772-8701
Copy
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