Wilson Kibungei Malit, OTR/L

NPI #1154663045 in Springfield, Illinois

Provider Information

NPI Number: 1154663045
Entity Type: Individual
Name: Wilson Kibungei Malit, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: OTR/L
Enumeration Date: Mar 19, 2013
Last Updated: Mar 19, 2013

Practice Location

Address: 555 W CARPENTER ST
City: Springfield
State: Illinois
ZIP Code: 62702-4905
Phone: (217) 525-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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