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1164896353
EDWARD TIONGSON
CHICAGO, IL
NPI
1164896353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057004410)
Enumeration Date
2015-11-25
Last Update Date
2015-11-25
Business Address
-- EDWARD TIONGSON
5701 N KIMBALL AVE BSMT APT
CHICAGO, IL 60659-4522
Phone number: 773-540-6638
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Mailing Address
-- EDWARD TIONGSON
5701 N KIMBALL AVE BSMT APT
CHICAGO, IL 60659-4522
Phone number: 773-540-6638
Copy
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