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Individual

ANGELA NDUAGUBA-EZUMBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
80066255
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12N73ND
BCBS MN
MN
05
14071
ND
01
26621
BLUE CROSS BLUE SHIELD ND
ND
05
438655000
MN
Enumeration date
10/05/2006
Last updated
04/06/2026
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