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1861791519
KUMALO AKIIM BOGAN
FORT SAM HOUSTON, TX
NPI
1861791519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TX 101092301)
Enumeration Date
2011-03-21
Last Update Date
2011-03-21
Business Address
Mr. KUMALO AKIIM BOGAN
3851 ROGER BROOKE DR MCHE-QD (CRED)
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-2460
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Mailing Address
Mr. KUMALO AKIIM BOGAN
3851 ROGER BROOKE DR MCHE-QD (CRED)
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-2460
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