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1649604737
DENNY WONGOSARI
DEERFIELD, IL
NPI
1649604737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002131A)
Enumeration Date
2013-08-26
Last Update Date
2015-07-18
Business Address
Mr. DENNY WONGOSARI MS, LAT, ATC
2065 HALF DAY RD
DEERFIELD, IL 60015-1241
Phone number: 847-317-7116
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Mailing Address
Mr. DENNY WONGOSARI MS, LAT, ATC
2065 HALF DAY RD
DEERFIELD, IL 60015-1241
Phone number: 847-317-7116
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