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1548604499
MBONGEH IDA FONGO
GREENBELT, MD
NPI
1548604499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2013-04-23
Last Update Date
2013-04-23
Business Address
-- MBONGEH IDA FONGO HHA
6219 SPRINGHILL CT
GREENBELT, MD 20770-1335
Phone number: 202-545-0935
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Mailing Address
-- MBONGEH IDA FONGO HHA
6219 SPRINGHILL CT
GREENBELT, MD 20770-1335
Phone number: 202-545-0935
Copy
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