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Mutiat Bamgbala, PROVIDER
NPI 1205528635 · on the registry since 2023 · sole proprietor
Practice
- Address
- 254 Ashfield Ln
Lexington, NC 27292 - Phone
- (860) 986-0003
- Organisation at this address
- Mutty Group Home
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Private Vehicle
347C00000X
- Also registered as
- Transportation Network Company
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina