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1164043683
NINA PHILICIA BANGU
ELK RIVER, MN
NPI
1164043683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251J00000X Nursing Care
(Licence: MN 1103992)
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
NINA PHILICIA BANGU RN, BSN
18837 SMITH DR NW
ELK RIVER, MN 55330-7510
Phone number: 763-291-1069
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Mailing Address
NINA PHILICIA BANGU RN, BSN
18837 SMITH DR NW
ELK RIVER, MN 55330-7510
Phone number: 763-291-1069
Copy
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