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1831473628
JOSEPH ERNEST KISANGA
BOWIE, MD
NPI
1831473628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: DC pending)
Enumeration Date
2011-09-28
Last Update Date
2013-12-16
Business Address
Mr. JOSEPH ERNEST KISANGA NP
4234 LAVENDER LN
BOWIE, MD 20720-4291
Phone number: 301-717-2972
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Mailing Address
Mr. JOSEPH ERNEST KISANGA NP
4234 LAVENDER LN
BOWIE, MD 20720-4291
Phone number: 301-717-2972
Copy
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