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1609135847
BERNARD WANJALA KULOBA
PENSACOLA, FL
NPI
1609135847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: FL OT 8258)
Enumeration Date
2012-05-08
Last Update Date
2012-05-08
Business Address
Mr. BERNARD WANJALA KULOBA OTR/L
10040 HILLVIEW DR
PENSACOLA, FL 32514-5499
Phone number: 850-474-0570
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Mailing Address
Mr. BERNARD WANJALA KULOBA OTR/L
4530 BALMORAL DR
PENSACOLA, FL 32504-9103
Phone number: 850-206-8537
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