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Individual

EBRIMA BANGURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8123 236TH ST SW, APT N302, EDMONDS, WA 98026-9207
(206) 769-1425
Mailing address
8123 236TH ST SW, APT N302, EDMONDS, WA 98026-9207
(206) 769-1425

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60755716
WA
390200000X
Student in an Organized Health Care Education/Training Program
RN00173217
WA

Other

Enumeration date
03/22/2017
Last updated
05/13/2017
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