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1659630200
GILBERT N FONGE
NEW CARROLLTON, MD
NPI
1659630200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MD F520279621167)
Enumeration Date
2012-05-15
Last Update Date
2012-05-15
Business Address
-- GILBERT N FONGE
7729 RIVERDALE RD
NEW CARROLLTON, MD 20784-3951
Phone number: 202-250-1331
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Mailing Address
-- GILBERT N FONGE
7729 RIVERDALE RD
NEW CARROLLTON, MD 20784-3951
Phone number: 202-250-1331
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