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1538731815
WYATT L ZAKSOEK
DIXON, IL
NPI
1538731815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
WYATT L ZAKSOEK
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
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Mailing Address
WYATT L ZAKSOEK
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number:
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