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1588109037
EMMANUEL ADZE FONGOH
LANHAM, MD
NPI
1588109037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA12624)
Enumeration Date
2016-12-19
Last Update Date
2016-12-19
Business Address
Mr. EMMANUEL ADZE FONGOH
4303 CRELIN PL
LANHAM, MD 20706-1936
Phone number: 240-714-6806
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Mailing Address
Mr. EMMANUEL ADZE FONGOH
4303 CRELIN PL
LANHAM, MD 20706-1936
Phone number: 240-714-6806
Copy
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