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1740601103
CHRISTOPHER F WASSOM
CHAMPAIGN, IL
NPI
1740601103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-01-02
Last Update Date
2014-01-02
Business Address
-- CHRISTOPHER F WASSOM
801 N WALNUT ST
CHAMPAIGN, IL 61820-3055
Phone number: 217-819-1587
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Mailing Address
-- CHRISTOPHER F WASSOM
202 N COLFAX ST
MONTICELLO, IL 61856-1542
Phone number: 217-819-1587
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