JACOB LAYNE DELVALLEY

CHAMPAIGN, IL
NPI1841527272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225C00000X Rehabilitation Counselor
Enumeration Date2009-11-05
Last Update Date2009-11-05
Business Address
-- JACOB LAYNE DELVALLEY
1112 LINCOLNSHIRE DR
CHAMPAIGN, IL 61821-5606
Phone number: 217-637-0516
Mailing Address
-- JACOB LAYNE DELVALLEY
PO BOX 71
BROADLANDS, IL 61816-0071
Phone number: 217-637-0516
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