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Individual
STAR BUMBANAC
Active
Individual
STAR BUMBANAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14414
IN
363L00000X
Nurse Practitioner
209027342
IL
363L00000X
Nurse Practitioner
339827
NY
363L00000X
Nurse Practitioner
4704380462
MI
363L00000X
Nurse Practitioner
71014684A
IN
363L00000X
Nurse Practitioner
APRN.CNP.0030868
OH
363L00000X
Nurse Practitioner
SP029531
PA
363LF0000X
Family Nurse Practitioner
Primary
11014087
FL
Other
Enumeration date
08/03/2015
Last updated
05/10/2024
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