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1700461654
MITCHAEL DEAMANTOPULOS
BATAVIA, IL
NPI
1700461654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-03-12
Last Update Date
2021-03-12
Business Address
MITCHAEL DEAMANTOPULOS
2400 HAWKS DR
BATAVIA, IL 60510-3801
Phone number: 630-454-4559
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Mailing Address
MITCHAEL DEAMANTOPULOS
2400 HAWKS DR
BATAVIA, IL 60510-3801
Phone number:
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