BRIAN SOETIKNO

CHICAGO, IL
NPI1316338080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-02-16
Last Update Date2015-02-16
Business Address
Mr. BRIAN SOETIKNO
345 E OHIO ST APT 1906
CHICAGO, IL 60611-4053
Phone number: 510-579-2071
Mailing Address
Mr. BRIAN SOETIKNO
345 E OHIO ST APT 1906
CHICAGO, IL 60611-4053
Phone number:
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