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1063051878
ALEXIS JULIA CASTILLO
LANSING, IL
NPI
1063051878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057005330)
Enumeration Date
2019-12-26
Last Update Date
2019-12-26
Business Address
ALEXIS JULIA CASTILLO COTA/L
2919 193RD ST
LANSING, IL 60438-3731
Phone number: 708-932-1639
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Mailing Address
ALEXIS JULIA CASTILLO COTA/L
2919 193RD ST
LANSING, IL 60438-3731
Phone number: 708-932-1639
Copy
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