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1689913519
JACKLINE FONCHAM
WASHINGTON, DC
NPI
1689913519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2013-02-13
Last Update Date
2013-02-13
Business Address
-- JACKLINE FONCHAM
439 ONEIDA PL NW
WASHINGTON, DC 20011-2150
Phone number: 202-291-7226
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Mailing Address
-- JACKLINE FONCHAM
13703 MODRAD WAY APT. # 23
SILVER SPRING, MD 20904-4825
Phone number: 202-291-7226
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