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1700140761
KEVIN MASSORA NANGA
LAUREL, MD
NPI
1700140761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC 143294)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
-- KEVIN MASSORA NANGA
15631 MILLBROOK LN
LAUREL, MD 20707-3317
Phone number: 240-543-1111
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Mailing Address
-- KEVIN MASSORA NANGA
15631 MILLBROOK LN
LAUREL, MD 20707-3317
Phone number: 240-543-1111
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