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1063113009
MARK S NYAEME
URBANA, IL
NPI
1063113009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
MARK S NYAEME
506 S MATHEWS AVE
URBANA, IL 61801-3618
Phone number: 630-362-7123
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Mailing Address
MARK S NYAEME
506 S MATHEWS AVE
URBANA, IL 61801-3618
Phone number:
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