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Individual

AMANDA MBOUMIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1511 BENVENUE RD, ROCKY MOUNT, NC 27804-6383
(252) 985-2753
Mailing address
1511 BENVENUE RD, ROCKY MOUNT, NC 27804-6383
(252) 985-2753

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24120
NC

Other

Enumeration date
04/20/2016
Last updated
04/20/2016
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