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1265117659
BALA MICHAEL WAMBEBE
GILBERT, AZ
NPI
1265117659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 226621)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
BALA MICHAEL WAMBEBE
2910 SOUTH GREENFIELD ROAD APT. #2085
GILBERT, AZ 85295
Phone number: 915-228-0283
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Mailing Address
BALA MICHAEL WAMBEBE
2910 SOUTH GREENFIELD ROAD APT. #2085
GILBERT, AZ 85295
Phone number: 915-228-0283
Copy
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