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1205253010
CHARISSE RENEE THOMPSON
DUBUQUE, IA
NPI
1205253010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IA 072875)
Enumeration Date
2014-03-19
Last Update Date
2014-03-19
Business Address
-- CHARISSE RENEE THOMPSON OTR/L
4121 PENNSYLVANIA AVE
DUBUQUE, IA 52002-2628
Phone number: 563-583-4003
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Mailing Address
-- CHARISSE RENEE THOMPSON OTR/L
4121 PENNSYLVANIA AVE
DUBUQUE, IA 52002-2628
Phone number: 563-583-4003
Copy
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