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1922576578
DIMITH PRIERY EBOUE EBOUE
SILVER SPRING, MD
NPI
1922576578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14123)
Enumeration Date
2018-11-12
Last Update Date
2018-11-12
Business Address
DIMITH PRIERY EBOUE EBOUE
20 RITCHIE AVE APT 33
SILVER SPRING, MD 20910-5129
Phone number: 202-445-5638
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Mailing Address
DIMITH PRIERY EBOUE EBOUE
20 RITCHIE AVE APT 33
SILVER SPRING, MD 20910-5129
Phone number: 202-445-5638
Copy
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