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1174667307
MARY SHATTUCK
LINCOLN, IL
NPI
1174667307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002043)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
-- MARY SHATTUCK COTA
151 9TH ST
LINCOLN, IL 62656-1501
Phone number: 217-735-5700
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Mailing Address
-- MARY SHATTUCK COTA
151 9TH ST
LINCOLN, IL 62656-1501
Phone number:
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