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Individual

MR. JOSELITO JIMENEZ BONGCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10462-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40476300
WI
Enumeration date
04/14/2007
Last updated
10/27/2012
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