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1740889161
ELIAS MBOGO
BEDFORD, MA
NPI
1740889161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LN94430)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
ELIAS MBOGO LPN
200 SPRINGS RD
BEDFORD, MA 01730-1114
Phone number: 781-687-3872
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Mailing Address
ELIAS MBOGO LPN
151 B ST
DRACUT, MA 01826-2153
Phone number: 781-228-1513
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