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Individual
LEONARD MUGO
Active
Individual
LEONARD MUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R181805
CA
363LA2200X
Adult Health Nurse Practitioner
R181805
MD
363LG0600X
Gerontology Nurse Practitioner
R181805
MD
Other
Enumeration date
12/13/2016
Last updated
06/04/2026
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