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Rodolfo Manansala, INDEPENDENT DUTY HM
NPI 1184809048 · on the registry since 2008 · sole proprietor
Practice
- Address
- 601 D St Bldg 130-H
Great Lakes, IL 60088 - Phone
- (847) 688-3412
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois