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1164818472
MA ETHEL NGOHO
GLENVIEW, IL
NPI
1164818472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160006728)
Enumeration Date
2015-04-13
Last Update Date
2015-04-13
Business Address
MA ETHEL NGOHO
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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Mailing Address
MA ETHEL NGOHO
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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