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1952070401
ELVINE C KENSONG TIBA
FAIRFIELD, OH
NPI
1952070401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
ELVINE C KENSONG TIBA
1533 HUNTER RD
FAIRFIELD, OH 45014-4609
Phone number: 301-331-8498
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Mailing Address
ELVINE C KENSONG TIBA
1533 HUNTER RD
FAIRFIELD, OH 45014-4609
Phone number: 301-331-8498
Copy
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