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Mrs. Jacqueline M Mondji Mamba
Driver in Bolingbrook, Illinois
NPI 1720316706

Jacqueline M Mondji Mamba is a Driver based in Bolingbrook, IL. Jacqueline M Mondji Mamba practices in Bolingbrook, IL. The NPI Number for Jacqueline M Mondji Mamba is 1720316706 and holds a License No. (Illinois).

The current practice location address for Jacqueline M Mondji Mamba is 1475 Basswood Dr, Bolingbrook, IL and can be reached out via phone at 630-759-4232 and via fax at 630-759-0327.

Location: 1475 Basswood Dr, Bolingbrook, IL, 60490-5419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720316706
Provider Name
Jacqueline M Mondji Mamba
Credential
Provider Entity Type
Individual
Gender
Female
Address
1475 Basswood Dr, Bolingbrook, IL, 60490-5419
Phone Number
630-759-4232
Fax Number
630-759-0327
Provider Enumeration Date
12/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1475 Basswood Dr
City
Bolingbrook
State
Illinois
Zip
60490-5419
Phone Number
630-759-4232
Fax Number
630-759-0327
person
Provider Business Mailing Address Details
Address
1475 Basswood Dr
City
Bolingbrook
State
Illinois
Zip
60490-5419
Phone Number
630-759-4232
Fax Number
630-759-0327
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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