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Individual
DR. YANNICK MAXIME MOMO TEFO
Active
Individual
DR. YANNICK MAXIME MOMO TEFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007589
PA
225100000X
Physical Therapist
070.024167
IL
Other
Enumeration date
06/11/2021
Last updated
08/06/2025
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