JASON ROOSEVELT BRUSA

CHICAGO, IL
NPI1922728047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225800000X Recreation Therapist
(Licence: IL  56129)
Enumeration Date2022-08-30
Last Update Date2022-08-30
Business Address
JASON ROOSEVELT BRUSA
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-9502
Mailing Address
JASON ROOSEVELT BRUSA
902 CLEMENT ST
JOLIET, IL 60435-4615
Phone number: 630-698-0214
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