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1194971853
JOANN JACKSON
CHICAGO, IL
NPI
1194971853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057002620)
Enumeration Date
2008-08-13
Last Update Date
2008-08-13
Business Address
-- JOANN JACKSON COTA
3442 W 73RD PL
CHICAGO, IL 60629-3514
Phone number: 773-937-4222
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Mailing Address
-- JOANN JACKSON COTA
14720 ARTESIAN AVE
HARVEY, IL 60426-1363
Phone number: 773-206-7122
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