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1992077796
DAVID DE LA FUENTE
ELGIN, IL
NPI
1992077796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-08
Last Update Date
2012-02-08
Business Address
-- DAVID DE LA FUENTE
474 SUMMIT ST
ELGIN, IL 60120-3829
Phone number: 847-608-2682
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Mailing Address
-- DAVID DE LA FUENTE
1600 MARTHA DR
ELGIN, IL 60123-5924
Phone number: 847-931-4408
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