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1568423077
KENNETH U MBACHU
BALTIMORE, MD
NPI
1568423077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0002548)
Enumeration Date
2006-04-01
Last Update Date
2013-09-16
Business Address
-- KENNETH U MBACHU PA
900 CATON AVE
BALTIMORE, MD 21229-5201
Phone number: 410-368-2414
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Mailing Address
-- KENNETH U MBACHU PA
900 CATON AVE
BALTIMORE, MD 21229-5201
Phone number: 410-368-2414
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