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1649014598
IAN VIDAL
ELGIN, IL
NPI
1649014598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
IAN VIDAL
1135 BOWES RD
ELGIN, IL 60123-5541
Phone number: 847-931-2631
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Mailing Address
IAN VIDAL
1135 BOWES RD
ELGIN, IL 60123-5541
Phone number:
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