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1043804990
IMMACULATE NGWE MBONY
LOWELL, MA
NPI
1043804990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA 2289761)
Enumeration Date
2021-02-22
Last Update Date
2021-02-22
Business Address
IMMACULATE NGWE MBONY APRN
100 MERRIMACK ST
LOWELL, MA 01852-1708
Phone number: 978-455-0756
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Mailing Address
IMMACULATE NGWE MBONY APRN
60 KINGS FIELD RD
DRACUT, MA 01826-1269
Phone number: 978-726-2878
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