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Individual

EMMANUEL MBU

Active
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Individual

EMMANUEL MBU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP43734
MD
251S00000X
Community/Behavioral Health Agency
Primary
374U00000X
Home Health Aide
HHA4022
DC

Other

Enumeration date
04/10/2009
Last updated
04/11/2023
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