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Individual
FRED MBEWE
Active
Individual
FRED MBEWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN635490
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251801532
VALLEY MEDICAL FACILITIES, INC
PA
Enumeration date
11/28/2022
Last updated
11/28/2022
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