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1851393268
MBEMBO BONGUTU
ERIE, PA
NPI
1851393268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD062832L)
Enumeration Date
2005-08-15
Last Update Date
2013-04-26
Business Address
-- MBEMBO BONGUTU MD
201 STATE ST
ERIE, PA 16550-0002
Phone number: 814-877-4922
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Mailing Address
-- MBEMBO BONGUTU MD
201 STATE ST
ERIE, PA 16550-0002
Phone number: 814-877-4922
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