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1194270454
MILLICENT MBUA
KENT, WA
NPI
1194270454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP 60655322)
Enumeration Date
2016-08-16
Last Update Date
2017-04-26
Business Address
-- MILLICENT MBUA FNP-C
222 STATE AVE N
KENT, WA 98030-4544
Phone number: 253-372-7884
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Mailing Address
-- MILLICENT MBUA FNP-C
222 STATE AVE N
KENT, WA 98030-4544
Phone number: 253-372-7884
Copy
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