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Organization

THE 1091 GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IBRAHIM TEJAN KARGBO M.P.H (FOUNDER/OWNER)
(703) 798-7826
Entity
Organization

Contact information

Practice address
5810 KINGSTOWNE CENTER DRIVE, #120-146, ALEXANDRIA, VA 22315-5711
(703) 798-7826
Mailing address
5810 KINGSTOWNE CENTER DRIVE, #120-146, ALEXANDRIA, VA 22315-5711

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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