STEPHANIE LEE MABUS

JACKSONVILLE, IL
NPI1134768708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057003071)
Enumeration Date2019-12-31
Last Update Date2019-12-31
Business Address
STEPHANIE LEE MABUS
873 GORVE ST
JACKSONVILLE, IL 62650
Phone number: 217-479-3400
Mailing Address
STEPHANIE LEE MABUS
15248 COUNTRY LAKE ESTATES RD
GIRARD, IL 62640-7285
Phone number: 618-292-3035
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