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1972864965
NELSON BONGLACK GONGA
SILVER SPRING, MD
NPI
1972864965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-06-06
Last Update Date
2012-06-06
Business Address
-- NELSON BONGLACK GONGA HHA
12312 FEATHERWOOD DR
SILVER SPRING, MD 20904-7653
Phone number: 202-545-0935
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Mailing Address
-- NELSON BONGLACK GONGA HHA
12312 FEATHERWOOD DR
SILVER SPRING, MD 20904-7653
Phone number: 202-545-0935
Copy
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