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1902276397
MUDOH LAMBERT FONGANG
WASHINGTON, DC
NPI
1902276397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2015-09-29
Last Update Date
2023-07-07
Business Address
MUDOH LAMBERT FONGANG
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
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Mailing Address
MUDOH LAMBERT FONGANG
2907 LAKE FOREST DR
UPPER MARLBORO, MD 20774-8972
Phone number: 240-486-5785
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