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1992230908
TIMOTHY DEKONINCK
KETTERING, OH
NPI
1992230908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OH 35.139183)
Enumeration Date
2017-04-27
Last Update Date
2020-08-19
Business Address
TIMOTHY DEKONINCK M.D.
3525 SOUTHERN BLVD 3525 SOUTHERN BLVD.
KETTERING, OH 45429-1221
Phone number: 937-395-8839
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Mailing Address
TIMOTHY DEKONINCK M.D.
1 WYOMING ST
DAYTON, OH 45409-2711
Phone number: 937-208-3356
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