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1588936843
JOHN MYRON NETHERLY
MELROSE PARK, IL
NPI
1588936843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 36-2709982)
Enumeration Date
2012-02-02
Last Update Date
2012-02-02
Business Address
Mr. JOHN MYRON NETHERLY MSW
1414 MAIN ST
MELROSE PARK, IL 60160-3902
Phone number: 708-715-8109
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Mailing Address
Mr. JOHN MYRON NETHERLY MSW
1414 MAIN ST
MELROSE PARK, IL 60160-3902
Phone number: 708-715-8109
Copy
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