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1376802124
ASONGAFAC MABEH TAZANU
TAKOMA PARK, MD
NPI
1376802124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MD T250072015858)
Enumeration Date
2012-05-15
Last Update Date
2012-05-15
Business Address
-- ASONGAFAC MABEH TAZANU
6735 NEW HAMPSHIRE AVE APT 1209
TAKOMA PARK, MD 20912-4865
Phone number: 240-701-4087
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Mailing Address
-- ASONGAFAC MABEH TAZANU
6735 NEW HAMPSHIRE AVE APT 1209
TAKOMA PARK, MD 20912-4865
Phone number: 240-701-4087
Copy
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