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1114664562
CHANCELINE TENGOMOH
FAIRFIELD, OH
NPI
1114664562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 181030)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
CHANCELINE TENGOMOH
4 S TIMBER HOLLOW DR APT 413
FAIRFIELD, OH 45014-7824
Phone number: 402-601-4728
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Mailing Address
CHANCELINE TENGOMOH
4 S TIMBER HOLLOW DR APT 413
FAIRFIELD, OH 45014-7824
Phone number: 402-601-4728
Copy
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