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1952136103
MOHAMED TARDZENYUY BONGKIYUNG
WASHINGTON, DC
NPI
1952136103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
MOHAMED TARDZENYUY BONGKIYUNG
702 15TH ST NE
WASHINGTON, DC 20002-4508
Phone number: 202-748-4450
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Mailing Address
MOHAMED TARDZENYUY BONGKIYUNG
702 15TH ST NE
WASHINGTON, DC 20002-4508
Phone number: 202-748-4450
Copy
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