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1194020404
JEREMY LEE BOSCH
DANVILLE, IL
NPI
1194020404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.012311)
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
Mr. JEREMY LEE BOSCH M.S.W., L.S.W.
1900 E MAIN ST VA ILLIANA HEALTH CARE SYSTEM, SOCIAL WORK 122
DANVILLE, IL 61832-5100
Phone number: 217-554-3000
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Mailing Address
Mr. JEREMY LEE BOSCH M.S.W., L.S.W.
1900 E MAIN ST VA ILLIANA HEALTH CARE SYSTEM, SOCIAL WORK 122
DANVILLE, IL 61832-5100
Phone number: 217-554-3000
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