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1730545575
SIMON EBONG
ADELPHI, MD
NPI
1730545575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC hha11755)
Enumeration Date
2016-01-09
Last Update Date
2016-01-09
Business Address
-- SIMON EBONG
1806 FOX ST APT. 203
ADELPHI, MD 20783-2352
Phone number: 912-996-1464
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Mailing Address
-- SIMON EBONG
1806 FOX ST APT. 203
ADELPHI, MD 20783-2352
Phone number:
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