LIZAR ACE MANGIO

ROCKFORD, IL
NPI1598450306
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-07
Last Update Date2023-04-07
Business Address
LIZAR ACE MANGIO
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114-2300
Phone number: 815-971-6364
Mailing Address
LIZAR ACE MANGIO
6964 W OAKDALE AVE
CHICAGO, IL 60634-4839
Phone number: 773-727-6131
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