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1124295050
GINEAL ANTWUINIQUE SMITH TAYLOR
GLENVIEW, IL
NPI
1124295050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057001140)
Enumeration Date
2008-05-09
Last Update Date
2008-05-09
Business Address
GINEAL ANTWUINIQUE SMITH TAYLOR COTA
3703 W LAKE AVE STE 200
GLENVIEW, IL 60026-1266
Phone number: 847-998-1188
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Mailing Address
GINEAL ANTWUINIQUE SMITH TAYLOR COTA
159 N MARION ST # 103
OAK PARK, IL 60301-1032
Phone number: 773-719-0557
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