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1215611819
JESSICA MARIE BERRY
MOUNT VERNON, IL
NPI
1215611819
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Former Name
JESSICA M BERRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.005908)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
JESSICA MARIE BERRY COTA
1700 WHITE ST
MOUNT VERNON, IL 62864-4349
Phone number: 618-242-4075
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Mailing Address
JESSICA MARIE BERRY COTA
1531 MAUREEN DR
MARION, IL 62959-4614
Phone number: 618-964-5704
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