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1861013435
BERT-DESTINY TEKUM NGUFOR
WASHINGTON, DC
NPI
1861013435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2020-05-05
Last Update Date
2024-12-19
Business Address
BERT-DESTINY TEKUM NGUFOR
1818 NEW YORK AVE NE
WASHINGTON, DC 20002-1848
Phone number: 202-489-0615
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Mailing Address
BERT-DESTINY TEKUM NGUFOR
3223 75TH AVE APT 101
HYATTSVILLE, MD 20785-1914
Phone number: 469-989-2082
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