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Individual

THANKS KABANGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
33 E MEADOW LN, LOWELL, MA 01854-1558
(197) 833-0804
Mailing address
23 MARSH ST, LOWELL, MA 01854-3203
(978) 330-8049

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
99257
MA

Other

Enumeration date
11/28/2023
Last updated
11/28/2023
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