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IGNATIUS NJI MBUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1300 WESTERN BLVD, RALEIGH, NC 27606-2148
(919) 743-2232
Mailing address
103 PINEGATE CIR APT 10, CHAPEL HILL, NC 27514-2248
(708) 890-3309

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5009608
NC

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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