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1811389984
GRANT ROBERTSA
CHAMPAIGN, IL
NPI
1811389984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2015-02-26
Last Update Date
2015-02-26
Business Address
Mr. GRANT ROBERTSA
1801 FOX DR
CHAMPAIGN, IL 61820-7236
Phone number: 217-398-1658
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Mailing Address
Mr. GRANT ROBERTSA
1801 FOX DR
CHAMPAIGN, IL 61820-7236
Phone number:
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