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1760743579
ELVIS Y CHI
LAUREL, MD
NPI
1760743579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MD 171M00000X)
Enumeration Date
2012-06-07
Last Update Date
2012-06-07
Business Address
-- ELVIS Y CHI HHA
13141 LARCHDALE RD
LAUREL, MD 20708-1724
Phone number: 240-481-1867
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Mailing Address
-- ELVIS Y CHI HHA
13141 LARCHDALE RD
LAUREL, MD 20708
Phone number: 240-481-1867
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