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1366930810
MBUH SOPPO ELISABETH
HYATTSVILLE, MD
NPI
1366930810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA13613)
Enumeration Date
2018-04-30
Last Update Date
2018-04-30
Business Address
MBUH SOPPO ELISABETH
3215 75TH AVE
HYATTSVILLE, MD 20785-1923
Phone number: 614-316-4118
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Mailing Address
MBUH SOPPO ELISABETH
3215 75TH AVE
HYATTSVILLE, MD 20785-1923
Phone number: 614-316-4118
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