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1861013435
BERT DESTINY T NGUFOR
HYATTSVILLE, MD
NPI
1861013435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-05-05
Last Update Date
2020-05-05
Business Address
BERT DESTINY T NGUFOR
3223 75TH AVE APT 101
HYATTSVILLE, MD 20785-1914
Phone number: 469-989-2082
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Mailing Address
BERT DESTINY T NGUFOR
3223 75TH AVE APT 101
HYATTSVILLE, MD 20785-1914
Phone number: 469-989-2082
Copy
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