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1578076113
JOHN C WIESCH
BETTENDORF, IA
NPI
1578076113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IL 178.011783)
Enumeration Date
2017-11-06
Last Update Date
2024-07-28
Business Address
JOHN C WIESCH
2435 KIMBERLY RD STE 270
BETTENDORF, IA 52722-3509
Phone number: 406-220-6262
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Mailing Address
JOHN C WIESCH
1844 1ST ST
EAST MOLINE, IL 61244-2410
Phone number: 309-981-0364
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