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1932937208
BYRON DALE HIBBS
CHAMPAIGN, IL
NPI
1932937208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
BYRON DALE HIBBS BSW
411 E PARK ST STE 106
CHAMPAIGN, IL 61820-3862
Phone number: 217-714-7042
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Mailing Address
BYRON DALE HIBBS BSW
411 E PARK ST STE 106
CHAMPAIGN, IL 61820-3862
Phone number: 217-714-7042
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