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1780385856
LIONEL BONGKIYUNG
WASHINGTON, DC
NPI
1780385856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
LIONEL BONGKIYUNG
2124 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020-5732
Phone number: 202-563-7632
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Mailing Address
LIONEL BONGKIYUNG
3207 ELIZABETH AVE
HALETHORPE, MD 21227-1805
Phone number: 240-713-8891
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