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1205665718
JOSEPH MICHAEL NISHIMOTO LORENZO
OAK PARK, IL
NPI
1205665718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
JOSEPH MICHAEL NISHIMOTO LORENZO
105 N OAK PARK AVE FL 2
OAK PARK, IL 60301-1364
Phone number: 773-423-8447
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Mailing Address
JOSEPH MICHAEL NISHIMOTO LORENZO
5320 N SAWYER AVE APT 1
CHICAGO, IL 60625-7910
Phone number: 847-602-2624
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