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1083787378
KAREN LYNN FULKERSON
MARION, IL
NPI
1083787378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: 057002614)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Mrs. KAREN LYNN FULKERSON COTA L
2907 WILLIAMSON COUNTY PARKWAY
MARION, IL 62959
Phone number: 618-998-9894
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Mailing Address
Mrs. KAREN LYNN FULKERSON COTA L
17 N TEXAS ST
HARRISBURG, IL 62946
Phone number: 618-253-7210
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