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1851057475
MICHAEL JOHN OLDENBURG
ROCKFORD, IL
NPI
1851057475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178.017532)
Enumeration Date
2021-11-09
Last Update Date
2021-11-09
Business Address
MICHAEL JOHN OLDENBURG LPC
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-540-6151
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Mailing Address
MICHAEL JOHN OLDENBURG LPC
1021 N MULFORD RD
ROCKFORD, IL 61107-3874
Phone number:
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