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1073258752
MUSA MAWANDA
RUSSELL SPRINGS, KY
NPI
1073258752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 4016790)
Enumeration Date
2022-04-28
Last Update Date
2024-11-08
Business Address
MUSA MAWANDA APRN
404 STEVE DRIVE
RUSSELL SPRINGS, KY 42642-4622
Phone number: 270-866-3161
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Mailing Address
MUSA MAWANDA APRN
PO BOX 1080
BURKESVILLE, KY 42717-1080
Phone number: 270-864-1472
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