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1689201832
IFEANYI JEFFREY MBAH
GREEN BAY, WI
NPI
1689201832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
IFEANYI JEFFREY MBAH MD
2851 UNIVERSITY AVE
GREEN BAY, WI 54311-5855
Phone number: 920-431-2642
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Mailing Address
IFEANYI JEFFREY MBAH MD
2851 UNIVERSITY AVE
GREEN BAY, WI 54311-5855
Phone number: 920-431-2642
Copy
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