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1548522972
DIVINE FOLEFAC ZISUH
LANHAM, MD
NPI
1548522972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MD Z-200-143-258-871)
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
-- DIVINE FOLEFAC ZISUH
9893 GOOD LUCK RD APT 7
LANHAM, MD 20706-3220
Phone number: 202-378-0041
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Mailing Address
-- DIVINE FOLEFAC ZISUH
9893 GOOD LUCK RD APT 7
LANHAM, MD 20706-3220
Phone number: 202-378-0041
Copy
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