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1982268017
MICHAEL DONAVAN WILSON
WAUKEGAN, IL
NPI
1982268017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.014502)
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
Mr. MICHAEL DONAVAN WILSON
200 NORTH LEWIS
WAUKEGAN, IL 60087
Phone number: 224-944-9247
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Mailing Address
Mr. MICHAEL DONAVAN WILSON
1521 SOUTHPORT COURT
ZION, IL 60099
Phone number:
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