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Organization
MARIE BANGURA
Active
Organization
MARIE BANGURA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE BANGURA MHSA (PSR)
(407) 745-7434
Entity
Organization
Contact information
Practice address
104 LUCA LN, KISSIMMEE, FL 34743-9212
(407) 735-7434
Mailing address
104 LUCA LN, KISSIMMEE, FL 34743-9212
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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