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1235508300
SAMSON NGUYEN
ROCKFORD, IL
NPI
1235508300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.021664)
Enumeration Date
2015-09-18
Last Update Date
2015-09-18
Business Address
-- SAMSON NGUYEN DPT
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4961
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Mailing Address
-- SAMSON NGUYEN DPT
5646 LEE ST
MORTON GROVE, IL 60053-3115
Phone number:
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