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Individual

CHUKWUJINDU FRANCIS CHUKWUDIFU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
33 DEAK DR, SMYRNA, DE 19977-1268
(570) 692-1957
Mailing address
107 KEVIN CT, DOVER, DE 19904-9748
(570) 692-1957

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0004077
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A06785389
NIGERIAN PASSPORT
Enumeration date
05/29/2019
Last updated
05/29/2019
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