SAMSON NGUYEN

ROCKFORD, IL
NPI1235508300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.021664)
Enumeration Date2015-09-18
Last Update Date2015-09-18
Business Address
-- SAMSON NGUYEN DPT
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4961
Mailing Address
-- SAMSON NGUYEN DPT
5646 LEE ST
MORTON GROVE, IL 60053-3115
Phone number:
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