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1710533807
MARIO MICHAEL MISSEHA
AURORA, IL
NPI
1710533807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-007765)
Enumeration Date
2019-08-14
Last Update Date
2023-06-23
Business Address
MARIO MICHAEL MISSEHA
2111 OGDEN AVE
AURORA, IL 60504-7597
Phone number: 630-978-3800
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Mailing Address
MARIO MICHAEL MISSEHA
2111 OGDEN AVE
AURORA, IL 60504-7597
Phone number: 630-978-3800
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