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1003464413
ALLIAH M IQBAL
DECATUR, IL
NPI
1003464413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.005234)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
ALLIAH M IQBAL COTA
2390 S LOST BRIDGE RD
DECATUR, IL 62521-4653
Phone number: 217-620-0687
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Mailing Address
ALLIAH M IQBAL COTA
2390 S LOST BRIDGE RD
DECATUR, IL 62521-4653
Phone number: 217-620-0687
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