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1649846981
EBOB EBAN MILDRED
TAKOMA PARK, MD
NPI
1649846981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2021-05-27
Last Update Date
2024-11-01
Business Address
EBOB EBAN MILDRED
780 FAIRVIEW AVE APT 301
TAKOMA PARK, MD 20912-5947
Phone number: 404-819-0052
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Mailing Address
EBOB EBAN MILDRED
780 FAIRVIEW AVE APT 301
TAKOMA PARK, MD 20912-5947
Phone number: 404-819-0052
Copy
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