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1740567916
DEREK JONES
MARION, IL
NPI
1740567916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-11-15
Last Update Date
2011-11-15
Business Address
-- DEREK JONES BA
1307 W MAIN ST
MARION, IL 62959-1139
Phone number: 618-997-5339
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Mailing Address
-- DEREK JONES BA
101 S ORANGE ST
JONESBORO, IL 62952-1128
Phone number: 573-318-0382
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