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Individual
MFOWETHU THEOPHILUS LANGENI
Active
Individual
MFOWETHU THEOPHILUS LANGENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036171236
IL
207Q00000X
Family Medicine Physician
05361
KY
Other
Enumeration date
06/18/2019
Last updated
07/25/2024
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