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1013662154
CHARLES J GREENGOSS
ROCKFORD, MI
NPI
1013662154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2022-02-17
Last Update Date
2022-02-17
Business Address
CHARLES J GREENGOSS
6820 MADRONE DR
ROCKFORD, MI 49341-9578
Phone number: 480-313-6777
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Mailing Address
CHARLES J GREENGOSS
800 JUDSON AVE APT 201
EVANSTON, IL 60202-2452
Phone number: 847-951-3872
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