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1972083384
BALTA RAMIREZ
ROCKFORD, IL
NPI
1972083384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
BALTA RAMIREZ
2704 N MAIN ST
ROCKFORD, IL 61103-3112
Phone number: 815-968-9300
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Mailing Address
BALTA RAMIREZ
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number:
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