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1952859233
VIVIAN IBEZIMAKO
BOWIE, MD
NPI
1952859233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA12193)
Enumeration Date
2016-09-15
Last Update Date
2016-09-15
Business Address
-- VIVIAN IBEZIMAKO
15921 ALAMEDA DR
BOWIE, MD 20716-1334
Phone number: 240-603-8307
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Mailing Address
-- VIVIAN IBEZIMAKO
15921 ALAMEDA DR
BOWIE, MD 20716-1334
Phone number:
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