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1598287773
NELVIS FON MOKOM
LAUREL, MD
NPI
1598287773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC hha12924)
Enumeration Date
2017-07-10
Last Update Date
2018-02-16
Business Address
NELVIS FON MOKOM
9792 WHISKEY RUN
LAUREL, MD 20723-1434
Phone number: 240-906-0295
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Mailing Address
NELVIS FON MOKOM
9792 WHISKEY RUN
LAUREL, MD 20723-1434
Phone number:
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