JOSELITO JIMENEZ BONGCO

WAUSAU, WI
NPI1790900967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  10462-24)
Enumeration Date2007-04-14
Last Update Date2012-10-27
Business Address
Mr. JOSELITO JIMENEZ BONGCO PT
3312 TERRACE CT
WAUSAU, WI 54401-4904
Phone number: 636-451-7090
Mailing Address
Mr. JOSELITO JIMENEZ BONGCO PT
3312 TERRACE CT
WAUSAU, WI 54401-4904
Phone number: 636-451-7090
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