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1245051887
ESAIE MOMGBET
MATTOON, IL
NPI
1245051887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-10-17
Last Update Date
2024-10-17
Business Address
ESAIE MOMGBET
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
ESAIE MOMGBET
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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