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1700579430
BRANDI MBOLU
GLEN BURNIE, MD
NPI
1700579430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 26070)
Enumeration Date
2023-05-30
Last Update Date
2023-06-07
Business Address
BRANDI MBOLU DPT
7081 BALTIMORE ANNAPOLIS BLVD
GLEN BURNIE, MD 21061-1431
Phone number: 410-691-1090
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Mailing Address
BRANDI MBOLU DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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