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1396384137
PETER IGBAGBOGBEMI FASOLA
WASHINGTON, DC
NPI
1396384137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-12-26
Last Update Date
2019-12-26
Business Address
PETER IGBAGBOGBEMI FASOLA
4829 N CAPITOL ST NE APT 303
WASHINGTON, DC 20011-6726
Phone number: 240-559-4077
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Mailing Address
PETER IGBAGBOGBEMI FASOLA
4829 N CAPITOL ST NE APT 303
WASHINGTON, DC 20011-6726
Phone number: 240-559-4077
Copy
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