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1407525702
NATHAN LEE CARON
WATERLOO, IL
NPI
1407525702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2021-09-09
Last Update Date
2022-12-27
Business Address
NATHAN LEE CARON MHP
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1059
Phone number: 618-939-4444
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Mailing Address
NATHAN LEE CARON MHP
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1059
Phone number: 618-939-4444
Copy
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