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1417728882
MICHAEL JERRY MISSOURI
WASHINGTON, DC
NPI
1417728882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
Mr. MICHAEL JERRY MISSOURI
431 54TH ST SE APT A1
WASHINGTON, DC 20019-6573
Phone number: 202-200-6558
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Mailing Address
Mr. MICHAEL JERRY MISSOURI
816 SOUTHERN AVE SE APT 301
WASHINGTON, DC 20032-3497
Phone number: 202-802-3962
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