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Mutombo Matungulu, RPH
NPI 1780906131 · on the registry since 2010
Practice
- Address
- 601 Frank Sottile Blvd
Kingston, NY 12401 - Phone
- (845) 366-7460
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Brandon&Lortie, O.D., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-25
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 New York