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1699130963
TRACY MUMBULO
JBER, AK
NPI
1699130963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AK 105653)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- TRACY MUMBULO
208 AKUTAN AVE UNIT A
JBER, AK 99505
Phone number: 919-888-2291
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Mailing Address
-- TRACY MUMBULO
208 AKUTAN AVE UNIT A
JBER, AK 99505
Phone number: 919-888-2291
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