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1790431880
NATHANIEL OLDENBURG
PEORIA, IL
NPI
1790431880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180012347)
Enumeration Date
2022-02-27
Last Update Date
2022-02-27
Business Address
NATHANIEL OLDENBURG LCPC
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614-8290
Phone number: 309-713-1485
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Mailing Address
NATHANIEL OLDENBURG LCPC
1501 HARBORWAY DR
CHILLICOTHE, IL 61523-1932
Phone number: 708-870-8184
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