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Individual

WONGANI MUNTHALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5376 S HALEYVILLE WAY, AURORA, CO 80016-5874
(410) 979-4856
Mailing address
5376 S HALEYVILLE WAY, AURORA, CO 80016-5874

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0996428
CO
363LF0000X
Family Nurse Practitioner
F03211191
CO

Other

Enumeration date
03/29/2021
Last updated
04/08/2021
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