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1619597259
CHARLES CHEVELL HURT
CHICAGO, IL
NPI
1619597259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
225X00000X Occupational Therapist
Enumeration Date
2020-04-23
Last Update Date
2020-04-23
Business Address
CHARLES CHEVELL HURT
1606 W WALLEN AVE APT 1
CHICAGO, IL 60626-6592
Phone number: 773-680-9695
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Mailing Address
CHARLES CHEVELL HURT
1606 W WALLEN AVE APT 1
CHICAGO, IL 60626-6592
Phone number: 773-680-9695
Copy
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