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1689385114
ALEXANDER FONKENGIUM
UPPER MARLBORO, MD
NPI
1689385114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-12-06
Last Update Date
2022-12-06
Business Address
ALEXANDER FONKENGIUM
11000 JUMPING WAY
UPPER MARLBORO, MD 20772-8098
Phone number: 240-726-3565
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Mailing Address
ALEXANDER FONKENGIUM
11000 JUMPING WAY
UPPER MARLBORO, MD 20772-8098
Phone number: 240-726-3565
Copy
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