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1992457618
CLOVIS TEGABONE
LANHAM, MD
NPI
1992457618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2022-01-24
Last Update Date
2024-08-07
Business Address
CLOVIS TEGABONE
9120 CRANDALL RD
LANHAM, MD 20706-1929
Phone number: 307-851-9357
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Mailing Address
CLOVIS TEGABONE
9120 CRANDALL RD
LANHAM, MD 20706-1929
Phone number: 307-851-9357
Copy
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