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1093314593
MELISSA EILEEN SUERMANN
GLEN CARBON, IL
NPI
1093314593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057005366)
Enumeration Date
2020-10-26
Last Update Date
2020-10-26
Business Address
MELISSA EILEEN SUERMANN COTA/L
300 S STATION RD
GLEN CARBON, IL 62034-2739
Phone number: 618-288-5014
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Mailing Address
MELISSA EILEEN SUERMANN COTA/L
445 E 3RD ST
ALTON, IL 62002-2410
Phone number: 618-792-2422
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