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1356905707
LARRY OBI
HYATTSVILLE, MD
NPI
1356905707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
LARRY OBI
3711 64TH AVE
HYATTSVILLE, MD 20785-1015
Phone number: 301-326-8780
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Mailing Address
LARRY OBI
3711 64TH AVE
HYATTSVILLE, MD 20785-1015
Phone number: 301-326-8780
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