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1982182150
ABUNDANT GRACE HEALTH SERVICES LLC
WASHINGTON, DC
NPI
1982182150
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Entity Type
Organization
Authorized Contact
JEANNE SANJA JOHNSON
CEO
240-468-6009
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: DC 012218-388)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
ABUNDANT GRACE HEALTH SERVICES LLC
4645 NANNIE HELEN BURROUGHS AVE NE
WASHINGTON, DC 20019-3622
Phone number: 240-468-6009
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Mailing Address
ABUNDANT GRACE HEALTH SERVICES LLC
4645 NANNIE HELEN BURROUGHS AVE NE
WASHINGTON, DC 20019-3622
Phone number: 240-468-6009
Copy
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