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1447816590
MBONG JERRY NGWESE
PHOENIX, AZ
NPI
1447816590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist Sports
Enumeration Date
2019-05-14
Last Update Date
2019-05-14
Business Address
MBONG JERRY NGWESE
2546 WEST BLOCH RD
PHOENIX, AZ 85041
Phone number: 480-233-9241
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Mailing Address
MBONG JERRY NGWESE
2546 WEST BLOCH RD
PHOENIX, AZ 85041
Phone number: 480-233-9241
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