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1902240930
KOFOWOROLA BALOGUN
WASHINGTON, DC
NPI
1902240930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
251B00000X Case Management
Enumeration Date
2013-04-21
Last Update Date
2023-03-16
Business Address
KOFOWOROLA BALOGUN MBI HEALTH SERVICES
4130 HUNT PL NE
WASHINGTON, DC 20019-3565
Phone number: 202-388-9202
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Mailing Address
KOFOWOROLA BALOGUN MBI HEALTH SERVICES
309 EAGLES RIDGE WAY
GLEN BURNIE, MD 21061-6754
Phone number: 240-938-3395
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