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1245860220
SAMA MAH FOMBU
MIRAMAR, FL
NPI
1245860220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9268150)
Enumeration Date
2020-01-18
Last Update Date
2020-01-18
Business Address
SAMA MAH FOMBU NP
3061 SW 160TH AVE STE 107
MIRAMAR, FL 33027-4213
Phone number: 754-204-0952
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Mailing Address
SAMA MAH FOMBU NP
3061 SW 160TH AVE STE 107
MIRAMAR, FL 33027-4213
Phone number: 754-204-0952
Copy
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