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1184839292
MARK J BUSINARO
CAPE GIRARDEAU, MO
NPI
1184839292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2005037443)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Mr. MARK J BUSINARO COTA
2852 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703-5016
Phone number: 573-335-2086
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Mailing Address
Mr. MARK J BUSINARO COTA
1119 S WEBSTER ST
HARRISBURG, IL 62946-2939
Phone number: 618-253-8376
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