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1093690257
MANNIX KALALA KABANGU
PUYALLUP, WA
NPI
1093690257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: 25-131)
Enumeration Date
2025-08-07
Last Update Date
2025-08-07
Business Address
MANNIX KALALA KABANGU SA-C
16816 116TH AVENUE CT E
PUYALLUP, WA 98374-9119
Phone number: 206-510-7233
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Mailing Address
MANNIX KALALA KABANGU SA-C
16816 116TH AVENUE CT E
PUYALLUP, WA 98374-9119
Phone number: 206-510-7233
Copy
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