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NPI Code Detail

MEDICARE: GLOIRE GITSIBO MUJANAMA

MEDICARE: GLOIRE GITSIBO MUJANAMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1063358562
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLOIRE GITSIBO MUJANAMA
Provider Business Mailing Address
First Line : 500 MADISON AVE STE 200
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1230
Country : US
Telephone Number : 567-312-8793
Fax Number : 567-312-8793
Provider Business Practice Location Address
First Line : 2177 MOCK RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1258
Country : US
Telephone Number : 567-312-8793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ GLOIRE GITSIBO MUJANAMA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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