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1336854330
PRUDENCIA ESAMAKA BANENI EPSE DIVINE
WASHINGTON, DC
NPI
1336854330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
PRUDENCIA ESAMAKA BANENI EPSE DIVINE
1150 12TH ST NW
WASHINGTON, DC 20005-4602
Phone number: 202-813-3421
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Mailing Address
PRUDENCIA ESAMAKA BANENI EPSE DIVINE
6606 RYCROFT AVE
NEW CARROLLTON, MD 20784-3652
Phone number: 240-886-5599
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