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1043516370
EVANGELINE VAN OFFEREN
ROCKFORD, IL
NPI
1043516370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002389)
Enumeration Date
2011-02-03
Last Update Date
2011-02-03
Business Address
-- EVANGELINE VAN OFFEREN
1545 TEMPLE LN
ROCKFORD, IL 61112-1097
Phone number: 815-332-3272
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Mailing Address
-- EVANGELINE VAN OFFEREN
329 TIMBER CT
SOUTH BELOIT, IL 61080-2460
Phone number:
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