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1992579668
SPORA ENDAM MBANWEI
ALEXANDRIA, VA
NPI
1992579668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA200003239)
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
SPORA ENDAM MBANWEI
85 S BRAGG ST # 401
ALEXANDRIA, VA 22312-2797
Phone number: 703-814-5106
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Mailing Address
SPORA ENDAM MBANWEI
85 S BRAGG ST # 401
ALEXANDRIA, VA 22312-2797
Phone number: 703-814-5106
Copy
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