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Individual
MR. TEBO T PHILEMON
Active
Individual
MR. TEBO T PHILEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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