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MR. NYINDU KABANGU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
7 HOLBORN ST STE 2, DORCHESTER, MA 02121-1313
(508) 215-7920
Mailing address
7 HOLBORN ST STE 2, DORCHESTER, MA 02121-1313
(508) 215-7920

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN62456
MA

Other

Enumeration date
10/21/2010
Last updated
10/21/2010
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