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1184630428
ELLEN J. SANCKEN
PEORIA, IL
NPI
1184630428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056-006534)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- ELLEN J. SANCKEN
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-6961
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Mailing Address
-- ELLEN J. SANCKEN
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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