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1871928986
MARTIN M KIONGO
VINCENNES, IN
NPI
1871928986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31005554A)
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
-- MARTIN M KIONGO OTR/L
3801 OLD BRUCEVILLE RD
VINCENNES, IN 47591-3889
Phone number: 812-886-4677
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Mailing Address
-- MARTIN M KIONGO OTR/L
1925 HIGH EAGLE TRL APT 878
INDIANAPOLIS, IN 46224-4257
Phone number:
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