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1013759042
HARACE SAMUEL BANGAH
SACRAMENTO, CA
NPI
1013759042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029991)
Enumeration Date
2024-06-11
Last Update Date
2024-06-13
Business Address
HARACE SAMUEL BANGAH NP
1430 Q ST UNIT 402
SACRAMENTO, CA 95811-6691
Phone number: 669-216-9050
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Mailing Address
HARACE SAMUEL BANGAH NP
1430 Q ST UNIT 402
SACRAMENTO, CA 95811-6691
Phone number: 669-216-9050
Copy
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