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1093422982
ERIC MBUALUNGU
CENTREVILLE, VA
NPI
1093422982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
ERIC MBUALUNGU
14600 CEDAR KNOLL DR
CENTREVILLE, VA 20120-2895
Phone number: 571-619-3099
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Mailing Address
ERIC MBUALUNGU
14600 CEDAR KNOLL DR
CENTREVILLE, VA 20120-2895
Phone number: 571-619-3099
Copy