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1063691228
CAROLYN WILKENS BLANK
CHICAGO, IL
NPI
1063691228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056006922)
Enumeration Date
2007-10-24
Last Update Date
2014-09-24
Business Address
Ms. CAROLYN WILKENS BLANK MS, OTR/L
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-3185
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Mailing Address
Ms. CAROLYN WILKENS BLANK MS, OTR/L
540 NW LOST SPRINGS TER STE 308
PORTLAND, OR 97229-6678
Phone number: 773-870-6876
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