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1811489479
LUBASI AKOMBELWA
BELLEVILLE, IL
NPI
1811489479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209032027)
Enumeration Date
2018-05-30
Last Update Date
2025-09-17
Business Address
Mr. LUBASI AKOMBELWA NP
4500 MEMORIAL DR
BELLEVILLE, IL 62226-5360
Phone number: 618-257-6220
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Mailing Address
Mr. LUBASI AKOMBELWA NP
PO BOX 959203
SAINT LOUIS, MO 63195-9203
Phone number: 618-257-6220
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