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1306122239
PEDRO TOMAS
MARION, IL
NPI
1306122239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-24
Last Update Date
2011-10-24
Business Address
-- PEDRO TOMAS CADC
1307 W MAIN ST
MARION, IL 62959-1139
Phone number: 618-997-5336
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Mailing Address
-- PEDRO TOMAS CADC
73 MCDOWELL RD
MURPHYSBORO, IL 62966-4552
Phone number: 618-521-9423
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