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1932938016
KENNETH MBUEN
MANASSAS, VA
NPI
1932938016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024190787)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
-- KENNETH MBUEN
10562 TATTERSALL DR
MANASSAS, VA 20112-2407
Phone number: 336-740-6347
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Mailing Address
-- KENNETH MBUEN
10562 TATTERSALL DR
MANASSAS, VA 20112-2407
Phone number: 336-740-6347
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