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1922793173
UNKNOWN DECLAN NDIBNU
WASHINGTON, DC
NPI
1922793173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X
Enumeration Date
2023-04-05
Last Update Date
2023-08-01
Business Address
UNKNOWN DECLAN NDIBNU
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
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Mailing Address
UNKNOWN DECLAN NDIBNU
5435 85TH AVE APT 102
LANHAM, MD 20706-4519
Phone number: 202-600-6962
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