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1790253359
ELIE TEBAH FOMBELE
LANHAM, MD
NPI
1790253359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14065)
Enumeration Date
2018-11-12
Last Update Date
2018-11-12
Business Address
ELIE TEBAH FOMBELE
9897 GOOD LUCK RD APT 10
LANHAM, MD 20706-3285
Phone number: 240-714-8876
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Mailing Address
ELIE TEBAH FOMBELE
9897 GOOD LUCK RD APT 10
LANHAM, MD 20706-3285
Phone number: 240-714-8876
Copy
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