CORY J BONGIVENGO

TALLMADGE, OH
NPI1912564543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-05-20
Last Update Date2019-05-20
Business Address
CORY J BONGIVENGO
30 NORTHWEST AVE # A-120
TALLMADGE, OH 44278-1808
Phone number: 330-633-4187
Mailing Address
CORY J BONGIVENGO
30 NORTHWEST AVE # A-120
TALLMADGE, OH 44278-1808
Phone number: 330-633-4187
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