WILSON KIBUNGEI MALIT

SPRINGFIELD, IL
NPI1154663045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
(Licence: IL  056003593)
Enumeration Date2013-03-19
Last Update Date2013-03-19
Business Address
-- WILSON KIBUNGEI MALIT OTR/L
555 W CARPENTER ST
SPRINGFIELD, IL 62702-4905
Phone number: 217-525-1880
Mailing Address
-- WILSON KIBUNGEI MALIT OTR/L
605 KENYON DR
SPRINGFIELD, IL 62704-1412
Phone number: 217-416-0272
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