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1811534902
SOPHIE MBUA
WAUKEGAN, IL
NPI
1811534902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: IL 209020423)
Enumeration Date
2019-12-08
Last Update Date
2019-12-08
Business Address
SOPHIE MBUA APRN
3010 GRAND AVE FL 2
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8098
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Mailing Address
SOPHIE MBUA APRN
3010 GRAND AVE FL 2
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8098
Copy
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