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1245862648
EMMANUEL A GBALA
REISTERSTOWN, MD
NPI
1245862648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R189984)
Enumeration Date
2020-02-04
Last Update Date
2020-02-06
Business Address
EMMANUEL A GBALA
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136-3023
Phone number: 443-204-3919
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Mailing Address
EMMANUEL A GBALA
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136-3023
Phone number: 443-204-3919
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