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Individual
MR. SYLVERE ROLAND MALONGA
Active
Individual
MR. SYLVERE ROLAND MALONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.301622
IL
363LA2200X
Adult Health Nurse Practitioner
209.017752
IL
363LF0000X
Family Nurse Practitioner
Primary
209.017752
IL
Other
Enumeration date
05/17/2019
Last updated
04/02/2026
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