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1083189120
JAMES JOHNSON
ROCKFORD, IL
NPI
1083189120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.013190)
Enumeration Date
2018-10-04
Last Update Date
2023-05-16
Business Address
JAMES JOHNSON
695 N PERRYVILLE RD
ROCKFORD, IL 61107-6225
Phone number: 779-368-0060
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Mailing Address
JAMES JOHNSON
695 N PERRYVILLE RD
ROCKFORD, IL 61107-6225
Phone number: 779-368-0060
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