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1497184469
BRIDGWATER TAANGUE
SILVER SPRING, MD
NPI
1497184469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA9055)
Enumeration Date
2013-11-10
Last Update Date
2013-11-10
Business Address
Mr. BRIDGWATER TAANGUE HHA
11700 OLD COLUMBIA PIKE APT 604
SILVER SPRING, MD 20904-2579
Phone number: 240-640-1512
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Mailing Address
Mr. BRIDGWATER TAANGUE HHA
11700 OLD COLUMBIA PIKE APT 604
SILVER SPRING, MD 20904-2579
Phone number: 240-640-1512
Copy
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