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1427686146
JOSEPH TEBANDEKE
SOMERVILLE, MA
NPI
1427686146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LN97961)
Enumeration Date
2020-03-29
Last Update Date
2020-03-29
Business Address
JOSEPH TEBANDEKE
31 UNION SQ
SOMERVILLE, MA 02143-3033
Phone number: 617-372-3409
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Mailing Address
JOSEPH TEBANDEKE
237 EASTERN AVE APT 2
MALDEN, MA 02148-5628
Phone number: 781-475-9130
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