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1366874570
MATTHEW PATRICK MOMOH
UPPER MARLBORO, MD
NPI
1366874570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
(Licence: DC 000119)
Enumeration Date
2013-07-30
Last Update Date
2013-07-30
Business Address
-- MATTHEW PATRICK MOMOH
216 PRENTON ST
UPPER MARLBORO, MD 20774-1534
Phone number: 240-550-9972
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Mailing Address
-- MATTHEW PATRICK MOMOH
216 PRENTON ST
UPPER MARLBORO, MD 20774-1534
Phone number: 240-550-9972
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