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1861970436
IME MBANG
SAN ANTONIO, TX
NPI
1861970436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 308469)
Enumeration Date
2018-08-05
Last Update Date
2018-08-05
Business Address
IME MBANG LVN
234 CONWAY DR
SAN ANTONIO, TX 78209-1716
Phone number: 210-612-8318
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Mailing Address
IME MBANG LVN
3711 MEDICAL DR APT 1527
SAN ANTONIO, TX 78229-2289
Phone number: 210-612-8318
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