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Individual

MR. STEVEN NIYONKURU JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2206 POLO PARK DR, DAYTON, OH 45439-3267
(937) 232-2265
(937) 232-2265
Mailing address
2206 POLO PARK DR, DAYTON, OH 45439-3267
(937) 232-2265
(937) 232-2265

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
UQ924522
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9372191459
UNCLE
OH
Enumeration date
10/14/2022
Last updated
10/14/2022
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