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1477814150
BETOTO WALTA DIANGE
HYATTSVILLE, MD
NPI
1477814150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MD D-520085866278)
Enumeration Date
2012-05-30
Last Update Date
2012-05-30
Business Address
-- BETOTO WALTA DIANGE
3542 DEAN DR APT G4
HYATTSVILLE, MD 20782-1213
Phone number: 240-701-8549
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Mailing Address
-- BETOTO WALTA DIANGE
3542 DEAN DR APT G4
HYATTSVILLE, MD 20782-1213
Phone number: 240-701-8549
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