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1639907959
GWANGWA FAGHA THOMAS BRAINE
WASHINGTON, DC
NPI
1639907959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
GWANGWA FAGHA THOMAS BRAINE
702 15TH ST NE
WASHINGTON, DC 20002-4508
Phone number: 301-674-1699
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Mailing Address
GWANGWA FAGHA THOMAS BRAINE
702 15TH ST NE
WASHINGTON, DC 20002-4508
Phone number:
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