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1790470987
ETHERTON T JONGA
BRONX, NY
NPI
1790470987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
ETHERTON T JONGA
4422 3RD AVE.
BRONX, NY 10457
Phone number: 718-960-9000
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Mailing Address
ETHERTON T JONGA
3001 HAMILTON CHURCH RD UNIT 443
ANTIOCH, TN 37013-7411
Phone number:
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