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Individual

UMU KABBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3524 PRAIRIE ROSE TRL, ANGLETON, TX 77515-2329
(801) 604-9384
Mailing address
3524 PRAIRIE ROSE TRL, ANGLETON, TX 77515-2329
(801) 604-9384

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
11/27/2023
Last updated
11/27/2023
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