MENSA KAMAUGOGO MUATA

BOURBONNAIS, IL
NPI1659586477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: IL  238.000078)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
Mr. MENSA KAMAUGOGO MUATA RSA
750 ALMAR PKWY SUITE 205
BOURBONNAIS, IL 60914-2315
Phone number: 815-933-3955
Mailing Address
Mr. MENSA KAMAUGOGO MUATA RSA
731 DOUBLE JACK ST APT F
BOURBONNAIS, IL 60914-9214
Phone number: 815-549-2302
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