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1629336581
BOONEGROSS FORKU
SILVER SPRING, MD
NPI
1629336581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- BOONEGROSS FORKU
13832 CASTLE BLVD APT 104
SILVER SPRING, MD 20904-7368
Phone number: 202-558-0278
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Mailing Address
-- BOONEGROSS FORKU
13832 CASTLE BLVD APT 104
SILVER SPRING, MD 20904-7368
Phone number: 202-558-0278
Copy
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