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1770070864
CORNELIUS TIENYI NYIBECHE
TAKOMA PARK, MD
NPI
1770070864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MD HHA13606)
Enumeration Date
2018-04-16
Last Update Date
2018-04-16
Business Address
MR. CORNELIUS TIENYI NYIBECHE HHA
26 LEE AVE APT 101
TAKOMA PARK, MD 20912-4543
Phone number: 202-826-2264
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Mailing Address
MR. CORNELIUS TIENYI NYIBECHE HHA
26 LEE AVE APT 101
TAKOMA PARK, MD 20912-4543
Phone number: 202-826-2264
Copy
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