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1467038257
ALEXA NUTT
CHAMPAIGN, IL
NPI
1467038257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178-016699)
Enumeration Date
2021-03-22
Last Update Date
2023-03-28
Business Address
ALEXA NUTT
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
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Mailing Address
ALEXA NUTT
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
Copy
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