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1902166598
THEODORA ADE KAISA
ADELPHI, MD
NPI
1902166598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MD K200792031320)
Enumeration Date
2012-05-17
Last Update Date
2012-05-17
Business Address
THEODORA ADE KAISA HOME HEALTH AIDE
7904 25TH AVE
ADELPHI, MD 20783-2634
Phone number: 301-357-2749
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Mailing Address
THEODORA ADE KAISA HOME HEALTH AIDE
7904 25TH AVE
ADELPHI, MD 20783-2634
Phone number: 301-357-2749
Copy
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