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1700358777
OBUNADIKE MBANUGO
MIAMI, FL
NPI
1700358777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11000693)
Enumeration Date
2019-01-01
Last Update Date
2019-01-01
Business Address
OBUNADIKE MBANUGO
10855 SW 112TH AVE APT 118
MIAMI, FL 33176-3292
Phone number: 305-905-0233
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Mailing Address
OBUNADIKE MBANUGO
10855 SW 112TH AVE APT 118
MIAMI, FL 33176-3292
Phone number: 305-905-0233
Copy
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