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1619302585
STEPHEN BOBGA GWANVOMA
MIDDLE RIVER, MD
NPI
1619302585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2013-09-10
Last Update Date
2013-09-10
Business Address
-- STEPHEN BOBGA GWANVOMA HHA
670 W KINGSWAY RD
MIDDLE RIVER, MD 21220-4925
Phone number: 202-545-0935
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Mailing Address
-- STEPHEN BOBGA GWANVOMA HHA
670 W KINGSWAY RD
MIDDLE RIVER, MD 21220-4925
Phone number: 202-545-0935
Copy
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