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1144894627
RYAN M KISSEL
GLENVIEW, IL
NPI
1144894627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2018027183)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
RYAN M KISSEL COTA/:
2600 COMPASS RD
GLENVIEW, IL 60026-8001
Phone number: 877-787-3430
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Mailing Address
RYAN M KISSEL COTA/:
1015 LAS BRISAS CT # 1015
JEFFERSON CITY, MO 65101-5601
Phone number: 141-729-6244
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