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1619480696
MUTENGWANA KASAPU-MWABA
JOLIET, IL
NPI
1619480696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.016680)
Enumeration Date
2017-11-13
Last Update Date
2020-10-07
Business Address
Mrs. MUTENGWANA KASAPU-MWABA
2025 S CHICAGO ST
JOLIET, IL 60436-3172
Phone number: 815-726-2200
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Mailing Address
Mrs. MUTENGWANA KASAPU-MWABA
PO BOX 746721
ATLANTA, GA 30374-6721
Phone number: 312-733-9730
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