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1902466451
EMEM A IBANGA
NOTTINGHAM, MD
NPI
1902466451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R156407)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
EMEM A IBANGA CRNP-PMH
5022 CAMPBELL BLVD
NOTTINGHAM, MD 21236-4969
Phone number: 443-442-1568
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Mailing Address
EMEM A IBANGA CRNP-PMH
4712 ELSRODE AVE
BALTIMORE, MD 21214-2809
Phone number: 443-838-8682
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