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Individual
MARYANN MBAKA
Active
Individual
MARYANN MBAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL36866
SC
2086S0127X
Trauma Surgery Physician
Primary
MD.41637
AL
Other
Enumeration date
05/29/2014
Last updated
11/02/2020
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