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1063715787
STANISLAUS MBONG EBAKO
ALEXANDRIA, VA
NPI
1063715787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: VA 0001214658)
Enumeration Date
2010-12-20
Last Update Date
2024-06-13
Business Address
STANISLAUS MBONG EBAKO RN
4850 MARK CENTER DR
ALEXANDRIA, VA 22311-1882
Phone number: 703-746-3400
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Mailing Address
STANISLAUS MBONG EBAKO RN
4850 MARK CENTER DR
ALEXANDRIA, VA 22311-1882
Phone number: 703-746-3400
Copy
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