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1700545407
CLOVIS M MUDOH
LANHAM, MD
NPI
1700545407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-12-10
Last Update Date
2021-12-10
Business Address
CLOVIS M MUDOH
9601 GOOD LUCK RD
LANHAM, MD 20706-3637
Phone number: 240-877-5084
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Mailing Address
CLOVIS M MUDOH
9601 GOOD LUCK RD
LANHAM, MD 20706-3637
Phone number: 240-877-5084
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