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1306591342
MARCUS JACK
CHICAGO, IL
NPI
1306591342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180014299)
Enumeration Date
2022-02-17
Last Update Date
2022-02-17
Business Address
MARCUS JACK
12400 S MICHIGAN AVE
CHICAGO, IL 60628-7347
Phone number: 770-912-5225
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Mailing Address
MARCUS JACK
5640 STONE CT
STONE MOUNTAIN, GA 30087-2954
Phone number: 770-912-5225
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