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1851959662
GREGORY IRWIN
SPRINGFIELD, IL
NPI
1851959662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.012265)
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
GREGORY IRWIN
3416 LIBERTY DR
SPRINGFIELD, IL 62704-6520
Phone number: 217-793-3949
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Mailing Address
GREGORY IRWIN
3416 LIBERTY DR
SPRINGFIELD, IL 62704-6520
Phone number: 217-793-3949
Copy
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