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MRS. CHARITY WAMBUI NYUGUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC

Contact information

Practice address
15 PARK PL, SWANSEA, IL 62226-2918
(618) 257-0780
(618) 234-7242
Mailing address
15 PARK PL, SWANSEA, IL 62226-2918
(618) 257-0780
(618) 234-7242

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2012013378
MO
363LF0000X
Family Nurse Practitioner
Primary
209025112
IL

Other

Enumeration date
02/28/2022
Last updated
07/28/2022
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