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1023678844
ANN ELIZABETH WILSON
SAVOY, IL
NPI
1023678844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.004385)
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
ANN ELIZABETH WILSON COTA
1803 WOODFIELD DR
SAVOY, IL 61874-8815
Phone number: 217-355-5905
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Mailing Address
ANN ELIZABETH WILSON COTA
1370 E 1800 NORTH RD
MONTICELLO, IL 61856-8449
Phone number: 217-762-3229
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