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1427175132
RUDOLPH N TIONGKO
BANGOR, ME
NPI
1427175132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: ME EC061039)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
RUDOLPH N TIONGKO MD
895 UNION ST SUITE 12
BANGOR, ME 04401-3053
Phone number: 207-973-7979
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Mailing Address
RUDOLPH N TIONGKO MD
895 UNION ST SUITE 12
BANGOR, ME 04401-3053
Phone number: 207-973-7979
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