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1720336191
GODLOVE LONGLA CHOFONG
BOWIE, MD
NPI
1720336191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-08-16
Last Update Date
2012-08-16
Business Address
-- GODLOVE LONGLA CHOFONG
3805 ERNST DR
BOWIE, MD 20716-3208
Phone number: 240-486-2147
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Mailing Address
-- GODLOVE LONGLA CHOFONG
3805 ERNST DR
BOWIE, MD 20716-3208
Phone number: 240-486-2147
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