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1518589019
JOHNNIE NATHANIEL DUCKETT
WASHINGTON, DC
NPI
1518589019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-05-07
Last Update Date
2020-05-07
Business Address
JOHNNIE NATHANIEL DUCKETT
5838 SOUTHERN AVE SE
WASHINGTON, DC 20019-6552
Phone number: 240-893-2963
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Mailing Address
JOHNNIE NATHANIEL DUCKETT
4108 CANTERBURY WAY
TEMPLE HILLS, MD 20748-3409
Phone number:
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