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1700481876
MILTON FONGANG
LANDOVER, MD
NPI
1700481876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MD HHA15467)
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
MILTON FONGANG
3211 75TH AVE APT 102
LANDOVER, MD 20785-1932
Phone number: 240-424-1390
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Mailing Address
MILTON FONGANG
3211 75TH AVE APT 102
LANDOVER, MD 20785-1932
Phone number: 240-424-1390
Copy
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