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1619639333
EDEN D SHUMBULO
ALEXANDRIA, VA
NPI
1619639333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 2021084066)
Enumeration Date
2021-10-11
Last Update Date
2021-10-11
Business Address
EDEN D SHUMBULO NP
5465 N MORGAN ST APT 501
ALEXANDRIA, VA 22312-3328
Phone number: 703-283-3923
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Mailing Address
EDEN D SHUMBULO NP
5465 N MORGAN ST APT 501
ALEXANDRIA, VA 22312-3328
Phone number: 703-283-3923
Copy
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