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1952817207
EBONE ROSS
VIENNA, IL
NPI
1952817207
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Former Name
EBONE JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
EBONE ROSS MPA, QMHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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Mailing Address
EBONE ROSS MPA, QMHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
Copy
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