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1376200550
BEACON OF ENLIGHTENMENT
ROCKFORD, IL
NPI
1376200550
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Entity Type
Organization
Authorized Contact
CRISY GOWAN
Owner
815-564-8633
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-11-22
Last Update Date
2021-11-29
Business Address
BEACON OF ENLIGHTENMENT
6072 BRYNWOOD DR STE 201
ROCKFORD, IL 61114-5829
Phone number: 815-564-8633
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Mailing Address
BEACON OF ENLIGHTENMENT
6072 BRYNWOOD DR STE 201
ROCKFORD, IL 61114-5829
Phone number: 815-564-8633
Copy
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