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1225218647
STEPHANIE ADAIR OLYSAV
SPRINGFIELD, IL
NPI
1225218647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056005780)
Enumeration Date
2007-11-14
Last Update Date
2014-08-08
Business Address
-- STEPHANIE ADAIR OLYSAV OTR
3020 S 6TH ST
SPRINGFIELD, IL 62703-5915
Phone number: 217-528-7541
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Mailing Address
-- STEPHANIE ADAIR OLYSAV OTR
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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