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1871916569
DERICK ABONG ACHOMBOM
GREENBELT, MD
NPI
1871916569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
-- DERICK ABONG ACHOMBOM
6114 BREEZEWOOD DR APT 202
GREENBELT, MD 20770-4143
Phone number: 240-413-3166
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Mailing Address
-- DERICK ABONG ACHOMBOM
6114 BREEZEWOOD DR APT 202
GREENBELT, MD 20770-4143
Phone number: 240-413-3166
Copy
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