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1265908701
TINEYI NGOMANYI
LOMBARD, IL
NPI
1265908701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070016079)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
TINEYI NGOMANYI
417 E CENTRAL AVE
LOMBARD, IL 60148-4007
Phone number: 630-346-0759
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Mailing Address
TINEYI NGOMANYI
417 E CENTRAL AVE
LOMBARD, IL 60148-4007
Phone number:
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