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1780196477
MOSEBOLATAN FELIX OTUGALU
HYATTSVILLE, MD
NPI
1780196477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA13166)
Enumeration Date
2017-11-02
Last Update Date
2017-11-02
Business Address
MOSEBOLATAN FELIX OTUGALU
3604 NEIGHBOR LN
HYATTSVILLE, MD 20785-1049
Phone number: 240-917-7190
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Mailing Address
MOSEBOLATAN FELIX OTUGALU
3604 NEIGHBOR LN
HYATTSVILLE, MD 20785-1049
Phone number: 240-917-7190
Copy
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