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1730701772
IVORY LAKEIA DANCE
WASHINGTON, DC
NPI
1730701772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
IVORY LAKEIA DANCE
2908 16TH ST NE
WASHINGTON, DC 20018-1822
Phone number: 202-269-0375
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Mailing Address
IVORY LAKEIA DANCE
9722 MEMPHIS PL
WALDORF, MD 20603-3865
Phone number: 240-230-2129
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