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1336507151
CHESTER MARCOL
GREEN BAY, WI
NPI
1336507151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15986)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
-- CHESTER MARCOL
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-498-8600
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Mailing Address
-- CHESTER MARCOL
1701 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-498-8600
Copy
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