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1740754068
MIRABEL SUH TAH
NEW CARROLLTON, MD
NPI
1740754068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14197)
Enumeration Date
2019-01-21
Last Update Date
2019-01-21
Business Address
MIRABEL SUH TAH
5822 MENTANA ST
NEW CARROLLTON, MD 20784-3505
Phone number: 240-470-2162
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Mailing Address
MIRABEL SUH TAH
5822 MENTANA ST
NEW CARROLLTON, MD 20784-3505
Phone number: 240-470-2162
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