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Individual
MR. NATHANIEL ROBERT MWANGI
Active
Individual
MR. NATHANIEL ROBERT MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007229
NY
363AM0700X
Medical Physician Assistant
007229
NY
Other
Enumeration date
02/02/2007
Last updated
11/29/2017
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