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1851780969
ROOSEVELT WHITE
WAUKEGAN, IL
NPI
1851780969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2015-01-13
Last Update Date
2015-01-13
Business Address
MR. ROOSEVELT WHITE
2025 WASHINGTON ST
WAUKEGAN, IL 60085-5131
Phone number: 847-360-1020
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Mailing Address
MR. ROOSEVELT WHITE
2025 WASHINGTON ST
WAUKEGAN, IL 60085-5131
Phone number: 847-360-1020
Copy
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