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Individual

ROBINSON MBUGUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7208 205TH AVE E, BONNEY LAKE, WA 98391-6123
(253) 985-1071
Mailing address
7208 205TH AVE E, BONNEY LAKE, WA 98391-6123
(253) 985-1071

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
372600000X
Adult Companion

Other

Enumeration date
04/11/2023
Last updated
10/10/2023
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